Z5/Z5BW/Z5T/Z50/Z50BW/Z50T

Diagnostic Ultrasound System

Operator’s Manual

[Basic Volume]
 Contents
Intellectual Property Statement ...................................................................................................... I
Responsibility on the Manufacturer Party....................................................................................... I
Warranty ...................................................................................................................................... II
Exemptions ............................................................................................................................. II
Customer Service Department ................................................................................................ II
Important Information .................................................................................................................. III
About This Manual ...................................................................................................................... III
Notation Conventions .................................................................................................................. III
Operator’s Manuals..................................................................................................................... IV
Manuals on Paper ....................................................................................................................... IV
Software Interfaces in this Manual ................................................................................................ V
Conventions ................................................................................................................................. V
Product Differences...................................................................................................................... V
1 Safety Precautions.................................................................................................... 1-1
1.1 Safety Classification ........................................................................................................ 1-1
1.2 Meaning of Signal Words................................................................................................. 1-2
1.3 Meaning of Safety Symbols ............................................................................................. 1-2
1.4 Safety Precautions .......................................................................................................... 1-3
1.5 Latex Alert ..................................................................................................................... 1-10
1.6 Warning Labels .............................................................................................................. 1-11
2 System Overview ...................................................................................................... 2-1
2.1 Intended Use ................................................................................................................... 2-1
2.2 Contraindication .............................................................................................................. 2-1
2.3 Product and Model Code ................................................................................................. 2-1
2.4 Product Specifications ..................................................................................................... 2-1
2.4.1 Imaging Mode .......................................................................................................... 2-1
2.4.2 Power supply ........................................................................................................... 2-2
2.4.3 Environmental Conditions......................................................................................... 2-2
2.4.4 Size and weights ...................................................................................................... 2-2
2.5 System Configuration ...................................................................................................... 2-2
2.5.1 Standard Configuration............................................................................................. 2-2
2.5.2 Probes Available ...................................................................................................... 2-3
2.5.3 Options .................................................................................................................... 2-4
2.5.4 Peripherals Supported ............................................................................................. 2-5
2.6 Introduction of Each Unit ................................................................................................. 2-5
2.6.1 I/O Panel.................................................................................................................. 2-7
2.6.2 Power Supply Panel ................................................................................................. 2-8
2.6.3 Control Panel ........................................................................................................... 2-8
2.7 Symbols ........................................................................................................................ 2-12
3 System Preparation .................................................................................................. 3-1
3.1 Move/Position the System ............................................................................................... 3-1
3.2 Power Supply .................................................................................................................. 3-1
3.2.1 Connecting External Power Supply .......................................................................... 3-1
3.2.2 Powered by Battery .................................................................................................. 3-2
3.3 Powering ON/ OFF .......................................................................................................... 3-2
3.3.1 Powering ON ........................................................................................................... 3-2
3.3.2 Powering OFF.......................................................................................................... 3-3

i
 3.4 Connecting / Disconnecting a Probe ................................................................................ 3-4
3.4.1 Connecting a Probe ................................................................................................. 3-4
3.4.2 Disconnecting a Probe ............................................................................................. 3-4
3.5 Connecting the Footswitch............................................................................................... 3-5
3.6 Connecting/ Removing a USB Storage Device ................................................................. 3-5
3.7 Graph / Text Printer ......................................................................................................... 3-5
3.8 Digital Video Printer ......................................................................................................... 3-9
3.9 Analog Video Printer........................................................................................................ 3-9
3.10 External DVD ................................................................................................................ 3-10
3.11 Basic Screen and Operation .......................................................................................... 3-10
3.11.1 Basic Screen.......................................................................................................... 3-10
3.11.2 Basic Operations of Screens .................................................................................. 3-12
4 Exam Preparation ..................................................................................................... 4-1
4.1 Start an Exam.................................................................................................................. 4-1
4.2 Patient Information .......................................................................................................... 4-1
4.2.1 New Patient Information ........................................................................................... 4-1
4.2.2 Retrieve Patient Information ..................................................................................... 4-5
4.3 Select Exam Mode and Probe ......................................................................................... 4-7
4.3.1 Selecting Exam Mode and Probe ............................................................................. 4-7
4.4 Selecting Imaging Mode .................................................................................................. 4-8
4.5 Activate& Continue an Exam ........................................................................................... 4-8
4.5.1 Activate an Exam ..................................................................................................... 4-8
4.5.2 Continue an Exam ................................................................................................... 4-8
4.6 Pause & End an Exam .................................................................................................... 4-8
4.6.1 Pause and Exam ...................................................................................................... 4-8
4.6.2 End an Exam ........................................................................................................... 4-9
5 Image Optimization ................................................................................................... 5-1
5.1 Imaging Mode ................................................................................................................. 5-1
5.2 Basic Operations ............................................................................................................. 5-1
5.3 Quickly Saving Image Setting (QSave) ............................................................................ 5-2
5.4 B Mode ........................................................................................................................... 5-2
5.4.1 B Mode Exam Protocol............................................................................................. 5-2
5.4.2 B Mode Parameters ................................................................................................. 5-2
5.4.3 B Mode Image Optimization ..................................................................................... 5-3
5.5 M Mode ........................................................................................................................... 5-7
5.5.1 M Mode Exam Protocol ............................................................................................ 5-7
5.5.2 M Mode Parameters................................................................................................. 5-8
5.5.3 M Mode Image Optimization..................................................................................... 5-8
5.6 Color Mode Image Optimization..................................................................................... 5-10
5.6.1 Color Mode Exam Protocol..................................................................................... 5-10
5.6.2 Color Mode Image Optimization ............................................................................. 5-10
5.6.3 Color Mode Image Optimization ............................................................................. 5-10
5.7 Power Mode Image Optimization ................................................................................... 5-13
5.7.1 Basic Procedures for Power Mode Imaging ............................................................ 5-13
5.7.2 Power Mode Image Parameters ............................................................................. 5-14
5.7.3 Power Mode Image Optimization............................................................................ 5-14
5.8 PW Doppler Mode ......................................................................................................... 5-15
5.8.1 Basic Procedures for PW Mode Exam .................................................................... 5-15
5.8.2 PW Mode Image Parameters ................................................................................. 5-16
5.8.3 PW Mode Image Optimization ................................................................................ 5-16

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 5.9 Anatomical M Mode (Free Xros M) ................................................................................ 5-20
5.10 TDI ................................................................................................................................ 5-22
5.10.1 Basic Procedures for TDI Imaging .......................................................................... 5-22
5.10.2 TDI Image Parameters ........................................................................................... 5-22
5.10.3 TDI Image Optimization.......................................................................................... 5-22
5.11 iScape ........................................................................................................................... 5-23
5.11.1 Basic Procedures for iScape Imaging ..................................................................... 5-23
5.11.2 Image Acquisition ................................................................................................... 5-24
5.11.3 iScape Viewing ...................................................................................................... 5-24
5.11.4 Cine Review........................................................................................................... 5-26
5.12 3D/4D............................................................................................................................ 5-27
5.12.1 Note before Use ..................................................................................................... 5-27
5.12.2 Overview................................................................................................................ 5-28
5.12.3 Static 3D ................................................................................................................ 5-31
5.12.4 Smart 3D ............................................................................................................... 5-40
5.12.5 4D.......................................................................................................................... 5-42
5.12.6 iLive ....................................................................................................................... 5-43
5.12.7 iPage ..................................................................................................................... 5-44
5.12.8 Smart Face ............................................................................................................ 5-46
6 Display & Cine Review ............................................................................................. 6-1
6.1 Image Display ................................................................................................................. 6-1
6.1.1 Splitting Display........................................................................................................ 6-1
6.1.2 Image Magnification ................................................................................................. 6-1
6.1.3 Freeze/ Unfreeze the Image ..................................................................................... 6-2
6.2 Cine Review .................................................................................................................... 6-3
6.2.1 Entering/ Exiting Cine Review .................................................................................. 6-3
6.2.2 Cine Review in 2D Mode .......................................................................................... 6-3
6.2.3 Cine Review in M/ PW /TVD Mode ........................................................................... 6-4
6.2.4 Linked Cine Review ................................................................................................. 6-5
6.3 Image Compare............................................................................................................... 6-5
6.3.1 Image Compare in Review Mode.............................................................................. 6-5
6.3.2 Frame Compare ....................................................................................................... 6-6
6.4 Cine Memory................................................................................................................... 6-6
6.4.1 Cine Memory Setting................................................................................................ 6-6
6.4.2 Cine Memory Clear .................................................................................................. 6-7
6.5 Preset ............................................................................................................................. 6-7
7 Measurement............................................................................................................. 7-1
7.1 Basic Operations ............................................................................................................. 7-1
7.2 General Measurements ................................................................................................... 7-1
7.2.1 2D General Measurements ...................................................................................... 7-1
7.2.2 M General Measurements ........................................................................................ 7-2
7.2.3 Doppler General Measurements ............................................................................... 7-3
7.3 Application Measurement ................................................................................................ 7-3
7.4 Measurement Accuracy ................................................................................................... 7-4
8 Comments and Body Marks ..................................................................................... 8-1
8.1 Comments....................................................................................................................... 8-1
8.1.1 Comment Basic Procedures ..................................................................................... 8-1
8.1.2 Comment Menu ....................................................................................................... 8-1
8.1.3 Adding Comments.................................................................................................... 8-2
8.1.4 Moving Comments ................................................................................................... 8-3

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 8.1.5 Editing Comments .................................................................................................... 8-3
8.1.6 Deleting Comments.................................................................................................. 8-3
8.2 Body Mark ....................................................................................................................... 8-4
8.2.1 Body Mark Operation Procedures............................................................................. 8-4
8.2.2 Menu ....................................................................................................................... 8-4
8.2.3 Adding Body Marks .................................................................................................. 8-4
8.2.4 Moving Body Marks.................................................................................................. 8-4
8.2.5 Deleting Body Marks ................................................................................................ 8-5
9 Patient Data Management......................................................................................... 9-1
9.1 Patient Information Management ..................................................................................... 9-1
9.1.1 Enter Patient Information.......................................................................................... 9-1
9.2 Image File Management .................................................................................................. 9-1
9.2.1 Storage Media.......................................................................................................... 9-1
9.2.2 Image File Formats .................................................................................................. 9-1
9.2.3 Image Storage Preset .............................................................................................. 9-2
9.2.4 Saving Images to the System ................................................................................... 9-2
9.2.5 Quickly Saving Images to USB Flash Drive .............................................................. 9-3
9.2.6 Quickly Saving Full Screen Image to the System ...................................................... 9-3
9.2.7 Thumbnails .............................................................................................................. 9-3
9.2.8 Image Review and Analysis...................................................................................... 9-4
9.2.9 iVision ...................................................................................................................... 9-6
9.2.10 Sending Image File .................................................................................................. 9-7
9.3 Report Management ........................................................................................................ 9-7
9.4 Patient Data Management (iStation) ................................................................................ 9-9
9.4.1 Searching a Patient .................................................................................................. 9-9
9.4.2 Patient Data View & Management .......................................................................... 9-10
9.5 Backing Up and Erasing Files through DVD Drive.......................................................... 9-12
9.6 Patient Task Manager .................................................................................................... 9-12
9.7 Access Control .............................................................................................................. 9-14
9.7.1 Access Setting ....................................................................................................... 9-14
9.7.2 Setting Access Control ........................................................................................... 9-14
9.7.3 System Login ......................................................................................................... 9-14
9.7.4 Add/ Delete a User ................................................................................................. 9-15
9.7.5 Modify Password .................................................................................................... 9-17
10 DICOM...................................................................................................................... 10-1
10.1 DICOM Preset ............................................................................................................... 10-1
10.1.1 Network Preset ...................................................................................................... 10-1
10.1.2 DICOM Preset ....................................................................................................... 10-2
10.1.3 DICOM Service ...................................................................................................... 10-4
10.2 Verify Connectivity ......................................................................................................... 10-9
10.3 DICOM Service ........................................................................................................... 10-10
10.3.1 DICOM Storage.................................................................................................... 10-10
10.3.2 DICOM Print ......................................................................................................... 10-11
10.3.3 DICOM Worklist .................................................................................................... 10-11
10.3.4 MPPS .................................................................................................................. 10-13
10.3.5 Storage Commitment ........................................................................................... 10-13
10.3.6 Query/Retrieve..................................................................................................... 10-14
10.4 DICOM Media Storage ................................................................................................ 10-15
10.5 Structured Report ........................................................................................................ 10-16
10.6 DICOM Task Manager ................................................................................................. 10-16

iv
11 Setup........................................................................................................................ 11-1
11.1 System Preset ................................................................................................................ 11-1
11.1.1 Region .................................................................................................................... 11-1
11.1.2 General ................................................................................................................... 11-2
11.1.3 Image Preset .......................................................................................................... 11-3
11.1.4 Application .............................................................................................................. 11-4
11.1.5 OB .......................................................................................................................... 11-5
11.1.6 Key Config .............................................................................................................. 11-5
11.1.7 Admin ..................................................................................................................... 11-6
11.2 Exam Preset................................................................................................................... 11-6
11.3 Measure Preset .............................................................................................................. 11-7
11.4 Comment Preset ............................................................................................................ 11-7
11.5 Bodymark Preset ............................................................................................................ 11-8
11.6 Print Preset .................................................................................................................... 11-9
11.7 Network Preset ............................................................................................................. 11-10
11.8 Maintenance ................................................................................................................ 11-11
11.8.1 Option ................................................................................................................... 11-11
11.8.2 Other Settings ....................................................................................................... 11-12
11.9 System Information ...................................................................................................... 11-12
12 Probes and Biopsy ................................................................................................. 12-1
12.1 Probe ............................................................................................................................ 12-1
12.1.1 Name and Function of Each Part of the Transducer ................................................ 12-3
12.1.2 Orientation of the Ultrasound Image and the Transducer Head ............................... 12-3
12.1.3 Operating Procedures ............................................................................................ 12-4
12.1.4 Wearing the Transducer Sheath ............................................................................. 12-7
12.1.5 Probes Cleaning and Disinfection........................................................................... 12-8
12.1.6 Storage and Transportation .................................................................................. 12-10
12.2 Biopsy Guide ................................................................................................................ 12-11
12.2.1 Basic Procedures for Biopsy Guiding.................................................................... 12-13
12.2.2 Needle-guided Brackets ....................................................................................... 12-13
12.2.3 Needle-guided Bracket Inspection and Installation................................................ 12-16
12.2.4 Biopsy Menu ........................................................................................................ 12-19
12.2.5 iNeedle (Needle Visualization Enhancement ) ...................................................... 12-19
12.2.6 Verify Biopsy Guide Line ...................................................................................... 12-21
12.2.7 Removing the Needle-guided Bracket .................................................................. 12-22
12.2.8 Clean and Sterilizethe Needle-guided Bracket ...................................................... 12-23
12.2.9 Storage and Transportation .................................................................................. 12-25
12.2.10 Disposal ............................................................................................................... 12-25
12.3 Lithotrity ...................................................................................................................... 12-25
13 Battery ..................................................................................................................... 13-1
13.1 Overview ....................................................................................................................... 13-1
13.2 Precautions ................................................................................................................... 13-2
13.3 Installing and Removing the Batteries ............................................................................ 13-2
13.4 Battery Status Indicator.................................................................................................. 13-2
13.5 One Full Discharge / Charge Cycle................................................................................ 13-3
13.6 Checking Battery Performance ...................................................................................... 13-3
13.7 Battery Disposal ............................................................................................................ 13-3
14 Acoustic Output ...................................................................................................... 14-1
14.1 Concerns with Bioeffects ............................................................................................... 14-1
14.2 Prudent Use Statement.................................................................................................. 14-1

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 14.3 ALARA Principle (As Low As Reasonably Achievable) ................................................... 14-1
14.4 MI/TI Explanation .......................................................................................................... 14-2
14.4.1 Basic Knowledge of MI and TI ................................................................................ 14-2
14.4.2 MI/TI Display .......................................................................................................... 14-2
14.5 Acoustic Power Setting.................................................................................................. 14-3
14.6 Acoustic Power Control ................................................................................................. 14-3
14.7 Acoustic Output ............................................................................................................. 14-4
14.7.1 Derated Ultrasonic Output Parameters ................................................................... 14-4
14.7.2 Limits of Acoustic Output ........................................................................................ 14-4
14.7.3 Differences between Actual and Displayed MI and TI.............................................. 14-5
14.8 Measurement Uncertainty.............................................................................................. 14-5
14.9 References for Acoustic Power and Safety .................................................................... 14-6
15 EMC Guidance and Manufacturer's Declaration ................................................... 15-1
16 System Maintenance .............................................................................................. 16-1
16.1 Daily Maintenance ......................................................................................................... 16-1
16.1.1 Cleaning the System .............................................................................................. 16-1
16.1.2 Checking Transducer ............................................................................................. 16-3
16.1.3 Backup of the System Hard Drive........................................................................... 16-3
16.2 Maintenance Checks by Service Engineer ..................................................................... 16-3
16.3 Consumables and Periodic Part Replacement ............................................................... 16-3
16.4 Troubleshooting............................................................................................................. 16-3
Appendix A Electrical Safety Inspection .................................................................A-1
Appendix B Barcode Reader ....................................................................................B-1
Appendix C iWorks (Auto Workflow Protocol) ........................................................C-1
Appendix D Printer Adapter ......................................................................................D-1

vi
©2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved.
For this Operator’s Manual, the issue date is 2019-07.

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray)
owns the intellectual property rights to this Mindray product and this manual. This manual may
refer to information protected by copyright or patents and does not convey any license under
the patent rights or copyright of Mindray, or of others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure
of the information in this manual in any manner whatsoever without the written permission of
Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaptation, translation or any other

derivative work of this manual in any manner whatsoever without the written permission of
Mindray is strictly forbidden.

, , , , , BeneView, WATO,
BeneHeart, are the trademarks, registered or otherwise, of Mindray in China and other
countries. All other trademarks that appear in this manual are used only for informational or
editorial purposes. They are the property of their respective owners.

Responsibility on the Manufacturer Party

Contents of this manual are subject to change without prior notice.

All information contained in this manual is believed to be correct. Mindray shall not be liable
for errors contained herein or for incidental or consequential damages in connection with the
furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product,
only if:
 all installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel;
 the electrical installation of the relevant room complies with the applicable national
and local requirements; and
 the product is used in accordance with the instructions for use.

Note
This equipment must be operated by skilled/trained clinical professionals.

I
 Warning
It is important for the hospital or organization that employs this equipment to carry out a
reasonable service/maintenance plan. Neglect of this may result in machine breakdown or
personal injury.

Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES,
EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or
other charges or liability for direct, indirect or consequential damages or delay resulting from
the improper use or application of the product or the use of parts or accessories not approved
by Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to:

 Malfunction or damage caused by improper use or man-made failure.
 Malfunction or damage caused by unstable or out-of-range power input.
 Malfunction or damage caused by force majeure such as fire and earthquake.
 Malfunction or damage caused by improper operation or repair by unqualified or
unauthorized service people.
 Malfunction of the instrument or part whose serial number is not legible enough.
 Others not caused by instrument or part itself.

Customer Service Department

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address: Mindray Building,Keji 12th Road South,High-tech industrial
park,Nanshan,Shenzhen 518057,P.R.China
Website: www.mindray.com
E-mail [email protected]
Address:
Tel: +86 755 81888998
Fax: +86 755 26582680

EC- Shanghai International Holding Corp. GmbH(Europe)

Representative:
Address: Eiffestraβe 80, Hamburg 20537, Germany
Tel: 0049-40-2513175
Fax: 0049-40-255726

II
Important Information
1. It is the customer’s responsibility to maintain and manage the system after delivery.
2. The warranty does not cover the following items, even during the warranty period:
(1) Damage or loss due to misuse or abuse.
(2) Damage or loss caused by Acts of God such as fires, earthquakes, floods, lightning,
etc.
(3) Damage or loss caused by failure to meet the specified conditions for this system,
such as inadequate power supply, improper installation or environmental conditions.
(4) Damage or loss due to use of the system outside the region where the system was
originally sold.
(5) Damage or loss involving the system purchased from a source other than Mindray or
its authorized agents.
3. This system shall not be used by persons other than fully qualified and certified medical
personnel.
4. Do not make changes or modifications to the software or hardware of this system.
5. In no event shall Mindray be liable for problems, damage, or loss caused by relocation,
modification, or repair performed by personnel other than those designated by Mindray.
6. The purpose of this system is to provide physicians with data for clinical diagnosis. It is
the physician’s responsibility for diagnostic procedures. Mindray shall not be liable for the
results of diagnostic procedures.
7. Important data must be backed up on external memory media.
8. Mindray shall not be liable for loss of data stored in the memory of this system caused by
operator error or accidents.
9. This manual contains warnings regarding foreseeable potential dangers, but you shall
always be alert to dangers other than those indicated as well. Mindray shall not be liable
for damage or loss that results from negligence or from ignoring the precautions and
operating instructions described in this operator’s manual.
10. If the manager for this system is changed, be sure to hand over this operator’s manual to
the new manager.

About This Manual

This operator’s manual describes the operating procedures for this diagnostic ultrasound
system Z5/Z5BW/Z5T/Z50/Z50BW/Z50T and the compatible probes. To ensure safe and
correct operations, carefully read and understand the manual before operating the system.

Notation Conventions
In this operator’s manual, the following words are used besides the safety precautions (refer
to "Safety Precautions"). Please read this operator’s manual before using the system.

The diagnostic ultrasound system is not intended for ophthalmic

CAUTION: use. Its use in this clinical specialty is contraindicated.

III
 Operator’s Manuals
You may receive multi-language manuals in compact disc or paper. Please refer to English
manual for latest information and register information.
The content of the operator manual, such as screens, menus or descriptions, may be different
from what you see in your system. The content varies depending upon the software version,
options and configuration of the system.

Manuals on Paper
 Operator’s Manual [Basic Volume]: Describes the basic functions and operations of
the system, safety precautions, exam modes, imaging modes, preset, maintenance
and acoustic output, etc.
 Operator’s Manual [Advanced Volume]: Describes measurement preset,
measurements and calculations, etc.
 Operator’s Manual [Acoustic Power Data and Surface Temperature Data]: Contains
data tables of acoustic output for transducers.
 Operation Note: Contains quick guide for basic operations of the system.

NOTE: 1. The manuals in CD are the manuals translated into languages other than
English according to English manuals.
2. When you find that the contents of the manuals in CD are NOT consistent with
the system or English manuals, please ONLY refer to the corresponding English
manuals.
3. The accompanying manuals may vary depending upon the specific system you
purchased. Please refer to the packing list.

IV
Software Interfaces in this Manual
Depending on the software version, preset settings and optional configuration, the actual
interfaces may be different from those in this manual.

Conventions
In this manual, these conventions are used to describe the buttons on the control panel, the
items in menu, buttons in dialog box and some basic operations:
 <Buttons>: The angular bracket indicates buttons, knobs and other controls on
control panel.
 [Items in menu and buttons in dialog box]: The square bracket indicates items in
menu or buttons in dialog box.
 Click [Items or Button]: Move the cursor to the item or button and press <Set>, or
click it on the menu.
 [Items in Menu][Items in Submenu]: Selects a submenu item following the path.
 [Dyn Rng (Value)]: Indicates menu items with parameter, (value) shows the current
value of the item.

Product Differences
B-Hist B-Profile Double Dist Trace Length Keyboard
Protective Film
Z5 × √ √ √ ×
Z5BW × √ × √ ×
Z5T × × √ √ ×
Z50 √ √ √ √ ×
Z50BW √ √ × √ ×
Z50T √ × √ √ ×

V
1 Safety Precautions

1.1 Safety Classification

 According to the type of protection against electric shock:
CLASS I EQUIPMENT
 According to the degree of protection against electric shock:
Type-BF applied part
 According to the degree of protection against harmful ingress of water:
Main unit: IPX0
Probes: IPX7
Footswitch: 971-SWNOM (2-pedal or 3-pedal) belongs to IP68
 According to the degree of safety of application in the presence of a FLAMMABLE
ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE:
EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC
MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE
 According to the mode of operation:
CONTINUOUS OPERATION
 According to the installation and use:
PORTABLE EQUIPMENT
MOBILE EQUIPMENT

Safety Precautions 1-1

 1.2 Meaning of Signal Words
In this manual, the signal words" DANGER”, “ WARNING”, “ CAUTION”,
“NOTE” and "Tips" are used regarding safety and other important instructions. The signal
words and their meanings are defined as follows. Please understand their meanings clearly
before reading this manual.
Signal word Meaning
Indicates an imminently hazardous situation that, if not avoided, will result
DANGER in death or serious injury.
Indicates a potentially hazardous situation that, if not avoided, could result
WARNING in death or serious injury.
Indicates a potentially hazardous situation that, if not avoided, may result
CAUTION in minor or moderate injury.
Indicates a potentially hazardous situation that, if not avoided, may result in
NOTE
property damage.
Tips Important information that helps you to operate the system more effectively.

1.3 Meaning of Safety Symbols

Symbol Description
Type-BF applied part.
The ultrasound probes connected to this system are type-BF applied parts.

Caution.

Patient/user infection due to contaminated equipment. Be careful when

performing the cleaning, disinfection and sterilization.

Patient injury or tissue damage from ultrasound radiation. It is required to

practice ALARA when operating ultrasound system.

1-2 Safety Precautions

1.4 Safety Precautions
Please observe the following precautions to ensure patient and operator’s safety when using
this system.
DO NOT use flammable gasses, such as anesthetic gas or
DANGER: hydrogen, or flammable liquids such as ethanol, near this
system, because there is danger of explosion.

1. Do connect the power plug of this system and power plugs

WARNING: of the peripherals to wall receptacles that meet the ratings
indicated on the rating nameplate. Using a multifunctional
receptacle may affect the system protective grounding
performance, and cause the leakage current to exceed
safety requirements.
Use the cable provided with this system to connect the
printer. Other cables may result in electric shock.
You must use the power adapter provided with the system;
otherwise electric shock may result.
You can only adopt the power supply method provided by
Mindray, other power supply modes (e.g. using a UPS) may
result in electric shock.
2. Connect the protective grounding conductor before
turning ON the system. Disconnect the grounding cable
after turning OFF the system. Otherwise, electric shock
may result.
3. For the connection of power and grounding, follow the
appropriate procedures described in this operator’s
manual. Otherwise, there is risk of electric shock. DO
NOT connect the grounding cable to a gas pipe or water
pipe; otherwise, improper grounding may result or a gas
explosion may occur.
4. Before cleaning the system, disconnect the power cord
from the outlet. System failure and electric shock may
result.
5. This system is not water-proof designed. Do Not use this
system in any place where water or any liquid leakage
may occur. If any water is sprayed on or into the system,
electric shock or device malfunction may result. If water is
accidentally sprayed on or into the system, contact
Mindray Customer Service Department or sales
representative.
6. Do not use a transducer that has a damaged, scratched
surface, or exposed wiring of any kind. Immediately stop
using the transducer and contact Mindray Customer
Service Department or sales representative. There is risk
of electric shock if using a damaged or scratched
transducer.

Safety Precautions 1-3

 7. DO NOT allow the patient to contact the live parts of the
ultrasound system or other devices, e.g. signal I / O
ports. Electric shock may occur.
8. Do not use an aftermarket probe other than those
specified by Mindray. The probes may damage the
system causing a profound failure, e.g. a fire in the worst
case.
9. Do not subject the transducers to knocks or drops. Use
of a defective transducer may cause an electric shock.
10. Do not open the covers and front panel of the system.
Short circuit or electric shock may result when the
system hardware is exposed and powered on.
11. Do not use this system when any digital device such as a
high-frequency electrotome, high-frequency therapeutic
device or defibrillator is applied already. Otherwise, there
is a risk of electric shock to the patient.
12. When moving the system, you should first fold the
keyboard, disconnect the system from other devices
(including probes) and disconnect the system from the
power supply.
13. Accessory equipment connected to the analog and digital
interfaces must comply with the relevant IEC standards
(e.g., IEC 60950 information technology equipment safety
standard and IEC 60601-1 medical equipment
standard).Furthermore, all configurations must comply
with the standard IEC 60601-1. It is the responsibility of
the person, who connects additional equipment to the
signal input or output ports and configures a medical
system, to verify that the system complies with the
requirements of IEC 60601-1. If you have any questions
regarding these requirements, consult your sales
representative.
14. Prolonged and repeated use of keyboards may result in
hand or arm nerve disorders for some individuals.
Observe the local safety or health regulations concerning
the use of keyboards.
15. When using intra-cavity transducers, do not activate the
transducer outside the patient’s body.
16. DO NOT touch the Signal I/O ports if in contact with the
patient; otherwise patient injury may result.

1. Precautions concerning clinical examination techniques:

CAUTION:
 This system must be used only by qualified medical
professionals.
 This operator’s manual does not describe clinical
examination techniques. The clinician should select the
proper examination techniques based on specialized
training and clinical experience.

1-4 Safety Precautions

2. Malfunctions due to radio wave:
 If a radio wave emitting device is used in the proximity of
this system, it may interfere with operations. Do not bring
or use devices that generate radio waves, such as
cellular telephones, transceivers, and radio controlled
toys, in the room where the system is installed.
 If a person brings a device that generates radio waves
near the system, ask him / her to immediately turn OFF
the device.
3. Precautions concerning movement of the system:
 When you place the system on the mobile trolley and
move them together, you must secure all objects on the
mobile trolley to prevent them from falling. Otherwise you
should separate the system from the mobile trolley and
move them individually.
When you have to move the system with the mobile
trolley upward or downward the stairs, you must separate
them first and then move them individually.
 Object placed on the monitor may fall and injure an
individual when moving.
 Fasten and fully secure any peripheral device before
moving the system. A loose peripheral device may fall
and injure an individual.
4. DO NOT expose the system to excessive vibration
through transportation. Mechanical damage may result.
5. Do not connect this system to outlets with the same
circuit breakers and fuses that control the current of
devices such as life-support systems. If this system
malfunctions and generates overcurrent, or when there is
an instantaneous current at power ON, the circuit breakers
and fuses of the building’s supply circuit may be tripped.
6. Always keep the system dry. Avoid transporting this
system quickly from a cold place to a warm place;
otherwise condensation or water droplets may form
allowing a short circuit and possible electric shock.
7. If the circuit protector is tripped, it indicates that the
system or a peripheral device was improperly shut down
and the system is unstable. You cannot repair the system
under this circumstance and must call the Mindray
Customer Service Department or sales representative.
8. There is no risk of high-temperature burns during normal
ultrasound examinations. It is possible for the surface
temperature of the transducer to exceed the body
temperature of a patient due to environmental temperature
and exam type combinations. Do not apply the transducer
to the same region on the patient for a long time. Apply
the transducer only for a period of time required for the
purpose of diagnosis.

Safety Precautions 1-5

 9. The system and its accessories are not disinfected or
sterilized prior to delivery. The operator is responsible for
the cleaning and disinfection of transducers and
sterilization of biopsy brackets according to the manuals,
prior to the use. All items must be thoroughly processed
to completely remove harmful residual chemicals, which
will not only harmful to the human body, but also damage
the accessory.
10. It is necessary to press [End Exam] to end the current
scan that is in progress and clear the current Patient
Information field. Otherwise, new patient data may be
combined with the previous patient data.
11. DO NOT connect or disconnect the system’s power cord
or its accessories (e.g., a printer) without turning OFF the
power first. This may damage the system and its
accessories or cause electric shock.
12. If the system is powered off improperly during operation,
it may result in data damage of the system’s hard disk or
system failure.
13. Do not use the system to examine a fetus for a long period
of time.
14. Do not use a USB memory device (e.g., a USB flash drive,
removable hard disk) which has unsafe data. Otherwise,
system damage may result.
15. It is recommended to only use the video devices specified
in this manual.
16. Do not use gel, disinfectant, probes, probe sheath or
needle-guided brackets that are not compatible with the
system.
17. Read the Acoustic Output Principle in the operation
manual carefully before operate this system on clinical
examination.
18. Please use the ultrasound gel compliant with the relevant
local regulations.
19. The ultrasound system can be powered by connecting to
mains power supply or powered by internal battery, if you
have any doubt with stability of mains power protective
grounding, please use internal battery.

NOTE: 1. DO NOT use the system in the vicinity of strong electromagnetic field (such
as a transformer), which may affect the performance of the system.
2. DO NOT use the system in the vicinity of high-frequency radiation source,
which may affect the performance of the system or even lead to failure.
3. When using or placing the system, keep the system horizontal to avoid
disbalance.

1-6 Safety Precautions

 4. To avoid damaging the system, DO NOT use it in following environment:
(1) Locations exposed to direct sunlight;
(2) Locations subject to sudden changes in environmental temperature;
(3) Dusty locations;
(4) Locations subject to vibration;
(5) Locations near heat generators;
(6) Locations with high humidity.
5. Turn ON the system only after the power has been turned OFF for a while. If
the system is turned ON immediately after being turned OFF, the system may
not be rebooted properly and could malfunction.
6. Remove ultrasound gel from the face of a probe when the examination is
complete. Water in the gel may enter the acoustic lens and adversely affect
the performance and safety of the transducer.
7. You should properly back up the system to a secure external storage media,
including system configuration, settings and patient data. Data stored to the
system’s hard drive may be lost due to system failure, improper operation or
accident.
8. Do not apply external force to the control panel, otherwise, the system may
be damaged.
9. If the system is used in a small room, the room temperature may rise. Please
provide proper ventilation and free air exchange.
10. To dispose of the system or any part, contact Mindray Customer Service
Department or sales representative. Mindray is not responsible for any
system content or accessories that have been discarded improperly. Mindray
is not responsible for any system content or accessories that have been
discarded improperly.
11. Electrical and mechanical performance may be degraded due to long usage
(such as current leakage or distortion and abrasion), the image sensitivity and
precision may become worse too. To ensure optimal system operations, it is
recommended that you maintain the system under a Mindray service
agreement.
12. Ensure that the current exam date and time are the same as the system date
and time.
13. DO NOT turn OFF the power supply of the system during printing, file storage
or invoking other system operations. An interrupted process may not be
completed, and can become lost or corrupted.
14. The system should be powered by battery when the integrality and reliability
of the protective grounding of external power supply is indeterminate.
15. The replaceable fuse is inside the chassis. Refer replacing job to Mindray
service engineers or engineers authorized by Mindray only.

Please read the following precautions carefully to ensure the safety of the patient and the
operator when using the probes.
The ultrasonic probe is only for use with the specified
WARNING: 1. ultrasonic diagnostic system. Please refer to the “2.5.2
Probes Available” to select the proper probe.

Safety Precautions 1-7

 The ultrasonic probe must be used only by qualified
2.
professionals.
Confirm that the probe and cable are normal before and
3. after each examination. Electrical shock may result from
a defective probe.
Do not subject the probe to shock. A defective probe may
4.
cause electric shock to the patient.
Do not disassemble the probe to avoid the possibility of
5.
electric shock.
Never immerse the probe connector into liquids such as
water or disinfectant because the connector is not
6.
waterproof. Immersion may cause electric shock or
malfunction.
A probe sheath must be installed over the probe before
7. performing intra-cavity, biopsy or intra-operative
examination.

When using the probe, wear sterile gloves to prevent

CAUTION: 1.
infection.
Be sure to use ultrasound gel. Please use the ultrasound
gel compliant with the relevant local regulations. And
2.
manage the ultrasound gel properly to ensure that it does
not become a source of infection.
In normal diagnostic ultrasound mode, there is no danger
of a normal-temperature burn; however, keeping the probe
3.
on the same region of the patient for a long time may
cause such a burn.
Do not use the carrying case for storing the transducer. If
4. the carrying case is used for storage, it may become a
source of infection.
It is required to practice ALARA when operating
5. ultrasound system. Minimize the acoustic power without
compromising the quality of images.
The probe and accessories supplied with it are not
6. delivered disinfected or sterilized. Sterilization (or high-
level disinfect) before use is required.
Disposable components are packaged sterile and are
single-use only. Do not use if integrity of packaging
7. violated or if expiration date has passed. Please use the
disposable components compliant with the relevant local
regulations.
Please use the disinfection or sterilization solution that
recommended in this operator’s manual, otherwise
Mindray will not be liable for damage caused by other
8.
solutions. If you have any questions, please contact
Mindray Customer Service Department or sales
representative.

1-8 Safety Precautions

 The probe sheath contains natural rubber that can cause
9.
allergic reactions in some individuals.
Do not use pre-lubricated condoms as a sheath. Lubricant
10. may not be compatible with the transducer material and
damage may result.
Transducer damage may be caused by inappropriate gel,
detergent or cleanser:
Do not soak or saturate transducers with solutions
11. containing alcohol, bleach, ammonium chloride
compounds, acetone or formaldehyde.
Avoid contact with solutions or coupling gels containing
mineral oil or lanolin.

NOTE: 1. Read the following precautions to prevent the probe from malfunction:
 Clean and disinfect the transducer before and after each examination.
 After the examination, wipe off the ultrasound gel thoroughly.
Otherwise, the ultrasound gel may solidify and the image quality
would be degraded.
2. Ambient conditions:
To prevent the transducer from being damaged, do not use it where it will be
exposed to:
 Direct sunlight or X-rays
 Sudden changes in temperature
 Dust
 Excessive vibration
 Heat generators
Use the probes under the following ambient conditions:
 Ambient temperature: 0°C ~ 40°C
 Relative humidity: 30% to 85% (no condensation)
 Atmospheric pressure: 700 hPa ~ 1060 hPa
Use the probe 10L24EA under the following ambient conditions:
 Ambient temperature: 0°C ~ 40°C
 Relative humidity: 30% to 90% (no condensation)
 Atmospheric pressure: 700 hPa ~ 1060 hPa
Use the probe D6-2EA under the following ambient conditions:
 Ambient temperature: 18°C ~ 30°C
 Relative humidity: 20% to 85% (no condensation)
 Atmospheric pressure: 700 hPa ~ 1060 hPa
3. Repeated disinfection will eventually damage the probe, please check the
probe's performance periodically.

Safety Precautions 1-9

 NOTE: 1. The following definition of the WEEE label applies to EU member
states only: The use of this symbol indicates that this system
should not be treated as household waste. By ensuring that this
system is disposed of correctly, you will help prevent bringing
potential negative consequences to the environment and human
health. For more detailed information with regard to returning and
recycling this system, please consult the distributor from whom
you purchased the system.
2. For system products, this label may be attached to the main unit only.

1.5 Latex Alert

When choosing a probe sheath, it is recommended that you directly contact CIVCO for
obtaining probe sheath, pricing information, samples and local distribution information. For
CIVCO information, please contact the following:
CIVCO Medical Instruments
Tel: 1-800-445-6741
WWW.civco.com
Allergic reactions in latex (natural rubber) sensitive patients may
WARNING: range from mild skin reactions (irritation) to fatal anaphylactic
shock, and may include difficulty in breathing (wheezing),
dizziness, shock, swelling of the face, hives, sneezing or itching
of the eyes (FDA Medical Alert on latex products, “Allergic
Reactions to Latex-containing Medical Devices”, issued on March
29, 1991).

1-10 Safety Precautions

1.6 Warning Labels
The warning labels are attached to this system in order to call your attention to potential
hazards.
The warning labels use the same signal words as those used in the operator’s manual. Read
operator’s manual carefully before using the system.
The name, pattern and meaning of each warning label are described as follows:

No. Warning Labels Meaning

1 Please carefully read this manual before
use device.

2 The following label is available a. Do not place the device on a sloped

when the system works with the surface. Otherwise the devcie may slide,
mobile trolley. resulting in personal injury or the device
malfunction. Two persons are required to
move the device over a sloped surface.
b. Do not sit on the device.
a
c. DO NOT push the device when the
casters are locked.

b c

Safety Precautions 1-11

2 System Overview

2.1 Intended Use

The Diagnostic Ultrasound System intended for use in Gynecology, Obstetrics, Abdominal,
Cardiac, Pediatric, Vascular, Cephalic, Musculo-skeletal, Orthopedics, Nerve, Transcranial,
Small organ and Urology exams.

2.2 Contraindication
This system is not intended for ophthalmic use.

2.3 Product and Model Code

Z

Model code
Product code

NOTE: The functions described in the operator’s manual may vary depending upon the
specific system you purchased.

2.4 Product Specifications

2.4.1 Imaging Mode
B Mode B
M Mode M
Free Xros M
C Mode Color
Power (Dirpower)
D Mode PW Doppler
Special imaging Smart 3D
Static 3D
4D
TDI (Tissue Doppler imaging)
iScape (panoramic imaging)

System Overview 2-1

 2.4.2 Power supply
Voltage 100-240V～
Frequency 50/60Hz
Input Power 1.5-0.8A
Fuse 250V~ T3.15AH

2.4.3 Environmental Conditions

Operational Conditions Storage and Transportation Conditions
Ambient 0℃～40℃ -20℃～55℃
temperature
Relative 30%～85% (no condensation) 30%～95% (no condensation)
humidity
Atmospheric 700hPa～1060hPa 700hPa～1060hPa
pressure

Do not use this system in the conditions other than those

WARNING: specified.

2.4.4 Size and weights

 Size:
146±10mm×361±10mm×360±10mm (Depth×Width×Height)
 Net Weight: 7.5±0.5kg (without battery)

2.5 System Configuration

2.5.1 Standard Configuration
 Main unit
 System software
 Accessories
 Operator’s manual
 Power cable
 Ultrasound gel
 Multilingual controls overlay
 Probe holder
 Disk of multi-language operator’s manual

2-2 System Overview

 2.5.2 Probes Available
No. Probe Model Category Intended Use Region Applied
Convex Gynecology, Obstetrics, Pediatric,
1. 35C50EA Body surface
Abdominal, Vascular, Urology
Convex Gynecology, Urology, Transvaginal
2. 65EC10EA

Pediatric, Small organ, Musculo- Body surface

3. 75L38EA Linear skeletal, Vascular, Orthopedics,
Nerve
Convex Abdominal, Pediatric, Cephalic, Body surface
4. 65C15EA
Transcranial, Cardiac
35C20EA Convex Gynecology, Obstetrics, Abdominal,
5. Body surface
Pediatric, Cardiac
Small organ, Vascular, Musculo-
6. 10L24EA Linear Body surface
skeletal, Pediatric, Nerve
Gynecology, Obstetrics, Pediatric,
7. 35C50EB Convex Body surface
Abdominal, Vascular, Urology
Pediatric, Small organ, Musculo-
8. 75L38EB Linear skeletal, Vascular, Orthopedics, Body surface
Nerve
9. 65EC10EB Convex Gynecology, Obstetrics, Urology Transvaginal
10. D6-2EA Convex Gynecology, obstetrics, abdominal Body surface
Some of the probes have matched needle-guided brackets for biopsy, the available probes
and the corresponding needle-guided brackets are listed as follows:
Needle-guided Biopsy Angle/
Probe Model Applicable Biopsy Needle
Bracket Model Depth (±1°)
NGB-001
35C50EA Metal/needle 13G, 15G, 16G, 18G, 20G
detachable; 25°, 35°, 45°
35C50EB 14G, 16G, 18G, 20G, 22G
metal/needle un-
detachable
NGB-002
75L38EA
metal/needle un- 40°, 50°, 60° 13G, 15G, 16G, 18G, 20G
75L38EB
detachable
NGB-003
Metal/needle un- 20G, 18G, 16G, 15G, 13G
35C20EA detachable 11º, 23º
22G, 20G, 18G, 16G, 14G
Metal/needle
detachable

NGB-004
65EC10EA
metal/needle un- / 16G, 17G, 18G
65EC10EB
detachable

System Overview 2-3

 Needle-guided Biopsy Angle/
Probe Model Applicable Biopsy Needle
Bracket Model Depth (±1°)
NGB-005
65C15EA metal/needle un- 12.7°, 24.2° 13G, 15G, 16G, 18G, 20G
detachable
NGB-016
10L24EA Metal/needle 30°, 40°, 50° 14G, 16G, 18G, 20G, 22G
detachable

2.5.3 Options
No. Item
1 iScape View
2 Color/Power module
3 PW module
4 Smart 3D
5 HPRF (PW should be configured first)
6 IMT
7 Free Xros M
8 iLive
9 Tissue Doppler Imaging
10 iNeedle
11 iWorks
12 Smart Face
13 Smart OB
DICOM Basic (including: task management, DICOM storage, DICOM print,
14 DICOM storage commitment, DICOM media storage (including DICOM DIR)
etc.)
15 DICOM worklist DICOM
Basic should
16 DICOM MPPS
be
17 DICOM DICOM Query/Retrieve configured
first
DICOM OB/GYN Structured
18
Report
19 DICOM Vascular Structured Report
20 DICOM Cardiac Structured Report
21 Footswitch
22 Battery Pack
23 Mobile trolley (UMT-150 or UMT-160)
24 Needle-guide bracket
25 Pack

2-4 System Overview

No. Item
26 4D module
27 Network accessory package

2.5.4 Peripherals Supported

No. Item Model
1. Graph/ text printer HP OFFICEJET PRO 8100
Black and White Video MITSUBISHI P93W-Z
2. Analog
Printer SONY UP-X898MD
USB port: 971-SWNOM (2-pedal)
3. Footswitch
USB port: 971-SWNOM (3-pedal)
4. LAN Accessory LPA11

This system complies with IEC60601-1-2:2014, and its RF

WARNING: emission meets the requirements of CISPR11 Class B. In a
domestic environment, the customer or the user should
guarantee to connect the system with Class B peripheral devices;
otherwise RF interference may result and the customer or the
user must take adequate measures accordingly.

NOTE: If the ultrasound system can not recognize the SONY UP-X898MD printer
automatically, you may need to change the settings on the printer: push <PUSH
ENTER> to enter the main menu and select [DIGITAL]->[DRIVER], and select
[897].

2.6 Introduction of Each Unit

 Right View

System Overview 2-5

  Left View

 Rear View

 Bottom View

2-6 System Overview

No. Name Function
1 Probe holder Used to place the probe
2 Display Displays the image and parameters during scanning
3 Control Panel Refer to 2.6.3 Control Panel
4 USB ports Used to connect USB devices
5 Handle Used to carry the machine
Interface panel used for inputting and outputting signals, refer
6 I/O Panel
to 2.6.1 I/O Panel.
7 Power supply panel Electrical port panel, refer to 2.6.2 Power Supply Panel.
8 Probe ports Used to connect the probe
9 Battery cover Used to hold the battery

2.6.1 I/O Panel

<1>
<2> <3> <4>
12V

5V

<5> VGA <6> <7> 3.3V

A
<8>

No. Symbol Function

1 Network port
2
USB ports
3
4 Separate video output, connecting video printer or LCD
5 Remote control port

6 VGA VGA signal output

7 Composite video output
8 / Power indicator

System Overview 2-7

 2.6.2 Power Supply Panel

No. Name Function

1 Power inlet AC power inlet
Used for equipotential connection, that balances the
2 Equipotential terminal protective earth potentials between the system and other
electrical equipment.

2.6.3 Control Panel

2-8 System Overview

No. Name Description Function
Off: when system is turned off;
1 / Power button Green: when system is turned on by pressing this
button.
Exit Press to exit the current status to the previous
2 Esc
status.
/ Press to display or hide the help information on
3 Help
screen.
Patient
4 Patient Press to open/ exit patient information screen.
Information
5 Probe Probe switch Press to switch Probe and Exam Type
6 Review / Press to review the stored images.
7 Report / Press to open or close the diagnosis reports.
8 End Exam / Press to end an exam.
/ Press to enter or exit the patient information
9 iStation
management system.
User-defined You can assign a function to the key.
10 F1
key
11 Biopsy / Press to show or hide the biopsy guide line.
12 Setup / Press to open/close the setup menu.
13 Del / Press to delete the comment, etc.
Alphanumeric Same as on PC
14 /
keys
Dual-split Press to enter Dual mode from non-Dual mode;
15 Dual
screen Press to switch between windows in Dual mode.
Quad-split Press to enter Quad mode from non-quad mode;
16 Quad screen Press to switch between windows in Quad mode.
/ Press to activate the steer function for linear
17 Steer
probe.
Direction key To adjust LCD brightness or contrast when
18 /
pressing with <Fn> key.
19 Cine / Press to enter or exit the cine review status.
20 Body Mark / Press to enter or exit the Body Mark status.
21 Arrow / Press to enter or exit the arrow comment status.
/ Press to clear the comments or measurement
22 Clear
calipers on the screen.
23 Scale / Press to adjust image parameter of Scale.
24 Baseline / Press to adjust image parameter of Baseline.
25 Menu Nav. / Multifunction button
To adjust the image parameter combed with the
26 / /
key of Scale/Baseline/Nav.Rot

System Overview 2-9

 No. Name Description Function
27 3D/4D / Press to enter or exit the 3D/4D status.
28 Cursor / Press to show the cursor.
29 / Trackball Roll the trackball to change the cursor position.
Press to confirm an operation, same as the left-
30 Set /
button of a mouse.
31 PW / Press to enter PW mode
32 Color / Press to enter Color mode
33 M / Press to enter M mode
34 B / Press to enter B mode
35 Measure / Press to enter/ exit Application Measurement
Measurement status: press to switch between the
fixed and active end of the caliper;
36 Update / Multi-imaging mode: press to change the
currently active window.
iScape: press to start/stop image acquisition.
37 Caliper / Press to enter/ exit General Measurement
Rotate: to adjust the gain
38 Gain/ iTouch /
Press: to enter/ exit iTouch
39 TGC / Move to adjust time gain compensation.
Focus Press: to switch between Focus and Freq./THI;
40 /
Freq./THI Rotate: to adjust corresponding parameter
Depth Press: to switch between Depth and Zoom;
41 /
Zoom Rotate: to adjust corresponding parameter
42 Save 1 / Press to save, user-defined key
43 Save 2 / Press to save, user-defined key
44 Freeze / Press to freeze or unfreeze the image.
45 Print / Press to print: user-defined key.
AC indicator
46 / Indicator 1 AC supply: light green;
Battery supply: light off.
Indicator 2 Battery status indicator
Charging: light in orange
Full: light in green
Discharge (electricity >20%): light in green
47 / Discharge (electricity <20%): blinking in
orange
Discharge (electricity <5%): blinking in
orange rapidly
Non-charge/ discharge: light off

2-10 System Overview

No. Name Description Function
Indicator 3 Standby indicator
48 / Standby: blinking in orange
Other status: light off
HDD status indicator
Read/ write: blinking in green
49 / Indicator 4 Other status: light off
NOTE: DO NOT move the machine when the
indicator blinking in green. Otherwise the HDD
may be damaged by sudden shake.
50 comment / Press to enter or exit the comment status.

System Overview 2-11

 2.7 Symbols
This system uses the symbols listed in the following table, and their meanings are explained
as well.
Symbol Description

Type-BF applied part

Caution

Dangerous voltage

Equipotentiality

Power button

Network port

USB ports

Video output

Remote control port

VGA VGA signal output

AC (Alternating current)

Battery Status Indicator

Standby indicator

Hard disk indicator

Probe port A

Probe port B

Probe port C

Product serial number

Manufacture date

Authorized representative in the European Community.

2-12 System Overview

Symbol Description
This product is provided with a CE marking in accordance with
the regulations stated in Council Directive 93/42/EEC
concerning Medical Devices as amended by 2007/47/EC. The
number adjacent to the CE marking (0123) is the number of
the EU-notified body certified for meeting the requirements of
the Directive.
NOTE: The product complies with the Council Directive
2011/65/EU.

System Overview 2-13

3 System Preparation

3.1 Move/Position the System

Please read and understand the safety precautions before placing the system to ensure
safety for both operator and devices.
1. Switch off the power, and pull out the plug.
2. Disconnect the system from all peripherals.
3. Place the system in a desired location by holding the handle.
4. Leave at least 20cm at the back and both sides of the system.
Maintain enough space around the back and both sides of
CAUTION: the system for plugging/ unplugging the power cord, as
well as avoiding system failure resulted due to increased
system operating temperature.

1. DO NOT connect this system to outlets with the same

WARNING: circuit breakers and fuses that control the current to
devices such as life-support systems. If this system
malfunctions and generates overcurrent, or when there
is an instantaneous current at power ON, the circuit
breakers and fuses of the building’s supply circuit may
be tripped.
2. Do not connect the three-wire cable of the system with
a two-wire receptacle without protective grounding;
otherwise electric shock may result.
3. Use the power input cord as the power breaking facility
of the system.

3.2 Power Supply

This system can work normally only when it is connected to the external power supply or the
battery capacity is sufficient.

3.2.1 Connecting External Power Supply

A three-wire power cord is used to connect the system with the external power supply.
The external power supply system must meet the following requirements:
Voltage: 100-240V～
Frequency: 50/60Hz
Input current: 1.5- 0.8 A

System Preparation 3-1

3.2.2 Powered by Battery
When connected to the external power supply, the system is powered by the external power.
The lithium ion battery inside it is in charging status. When disconnected from the external
power supply, the system is powered by the lithium ion batteries.
Refer to “13 Battery” for the detailed operations and precautions.

3.3 Powering ON/ OFF

3.3.1 Powering ON
To ensure safe and effective system operation, you must
CAUTION: perform daily maintenance and checks. If the system begins
to function improperly – immediately stop scanning. If the
system continues to function improperly – fully shut down
the system and contact Mindray Customer Service
Department or sales representative. If you use the system in a
persistent improperly functioning state – you may harm the
patient or damage the equipment.

 Checking before Power-on

To check the system before turning on the system:
No. Check Item
The temperature, relative humidity and atmospheric pressure shall meet the
<1> requirements of operating conditions. See "2.4.3 Environmental Conditions" for
details.
<2> There shall be no condensation.
There shall be no distortion, damage or dirt on the system and peripheral
devices.
<3>
If any dirt is found, cleaning shall be performed as defined in section “16.1.1
Cleaning the System”.
<4> There shall be no loose screws on the LCD or control panel.
There shall be no cable damage (e.g. power cord). Maintaining secure
<5>
connections to the system at all times.
The probes and probe cables shall be free of damage or stains.
<6> See “12.1.5 Probes Cleaning and Disinfection” for details on probe cleaning
and disinfection.
No miscellaneous odds and ends are allowed to be attached or affixed to the
<7>
control panel.
Ensure that all connections are free from damage and remain clear of foreign
<8> object blockages.
There shall be no obstacles around the system and its air vent.
<9> Probe cleaning and disinfection.
<10> The overall scanning environment and field must be clean.
 Checking after it is turned on
Press the power button in the upper right corner on the control panel.

3-2 System Preparation

Or press the Power button directly when the battery is of sufficient capacity.
To check the system after the system is turned on:
No. Check Item
<1> There shall be no unusual sounds or smells indicating possible overheating.
<2> There shall be no persistently displayed system error message.
There shall be no evident excessive noise, discontinuous, absent or black
<3>
artifacts in the B Mode image.
Check if there is abnormal heat on the surface of the probe during an
<4>
ultrasound procedure.
<5> The control panel keys and knobs are fully functional.
The exam date and time are the same as the system date and time, and are
<6>
displayed correctly.

1. If you use a probe giving off excessive heat, it may burn

WARNING: the patient.
2. If you find anything not functioning properly, this may
indicate that the system is defective. In this case, shut
down the system immediately and contact Mindray
Customer Service Department or sales representative.

NOTE: When you start the system or switch between probes, you will hear clicking
sounds – this is expected behavior.

3.3.2 Powering OFF

You need to follow the correct procedures to power off the system. In addition, after you
upgrade the software or when the system is down, you need to power off and restart it.
If you will not use the system for a long period of time, after powering off the system, you shall
disconnect the external power supply; turn off powers of all peripherals connected to the
system.
 To power off your system normally:
Gently press the power button once on the upper right corner of the control panel. The
[Shutdown Confirm] screen appears. See the figure below.

 Shut down: To power off the system normally.

 Standby: To enter the standby status.
 Cancel: To cancel the operation.

System Preparation 3-3

 To shut down the system in a direct way if you cannot do it normally:
Press and hold the power button for a long time and the system will power off without
displaying the [Shutdown Confirm] screen. Shutting down the system this way may destroy
the data.
NOTE: 1. DO NOT rush shutdown of the system in a direct way. It may destroy the
data.
2. After the software upgrade, please shut down the system in the normal way
(using “Shut down” method) so as to guarantee a fully update.

3.4 Connecting / Disconnecting a Probe

1. When connecting or disconnecting a probe, place it in a
CAUTION: proper position, to prevent the probe from falling off or
becoming damaged.
2. Only use the probes provided by Mindray. Aftermarket
probes may result in damage or cause a fire.

3.4.1 Connecting a Probe

Before connecting to the system, check if the probes, cables
WARNING: and connectors are in proper operating order and free from
surface defects, cracks and peeling. Using a defective probe
may cause electric shock.
1. Check if the locking lever on the probe is locked, or unlock it by turning it
counterclockwise to horizontal.
2. Insert the probe connector into the port with the probe cable pointing to the holder.
3. Lock the lever by turning it clockwise.
4. Place the cable properly to avoid being treaded or wrapping with other devices. DO
NOT allow the probe head to hang free.

3.4.2 Disconnecting a Probe

1. Turn the probe lock lever counterclockwise to release the connector.
2. Pull the connector straight out.
3. Keep the probe in safety and care.

3-4 System Preparation

3.5 Connecting the Footswitch
Connect the footswitch to the main unit via a USB port.
Set the functions of the footswitch in the [Key Config] page. Refer to "11.1.6 Key Config" for
details.

3.6 Connecting/ Removing a USB Storage

Device
DO NOT detach an USB storage device directly; otherwise,
WARNING: the ultrasound system or the USB device and/ or data
stored in the device may be damaged.
 When connecting a USB storage device to the ultrasound system, you can see the symbol
in the lower right corner of the screen.

 To remove the USB storage device: Click to open the [Remove USB Device] screen.
Select the device to be removed. Click [OK].

3.7 Graph / Text Printer

3.7.1.1 Connecting a Local Printer
As shown in the figure below, a graph / text printer has a power cord and data cable. The
power cord shall be directly connected to a wall receptacle as required.
Power cord

Data cord

USB port

1. Connect the data cable with the USB port on the ultrasound system.
2. Plug the other end power plug into an appropriate outlet.
3. Power on the system and the printer.

System Preparation 3-5

4. Check the printer status:
 Enter [Setup]-> [Print Preset]->“Printer Driver” page, printers that are installed
automatically will be displayed in the list with the “Status” of “Ready”.

5. Return to “Print Service” page, and select “Report Print” in the list, and set attributes in
the Property box under the screen:
 Select the printer model from the drop-down list right to the “Printer”;
 Set Paper Size.

3-6 System Preparation

6. Click [Save] to finish the installation.
Tips: Click [Printer Driver]->[Printer Supported] to view the drivers of some popular printers
that have already been integrated in the system. These drivers willbe installed automatically.
You need to check the following information to check if the auto-installation fails:

 Model of the connected printer is not displayed in the “Printer Driver” list;
 Click “Printer Driver”->[Add Local Printer], the system will prompts you to update the
ppd file.
At this time, you need to install the printer driver manually as described in the following:
a) Download the ppd file from the printer manufacturer’s official website (contact
service engineer if necessary), and copy the ppd file to the storage device (USB
disk as an example).
b) Connect the USB disk to the ultrasound system, click [Setup]->[Print Preset]-
>”Printer Driver”->[Add Local Printer] to run the ppd file and finish the installation.
NOTE: All printer drivers integrated in the ultrasound system come from official website of
each printer manufacturer (you can check models in the [Setup]->[Print Preset]-
>”Printer Driver”->[Supported Printer List]).Printer drivers may not be updated in
time due to software version and region limitation, consult printer manufacturer for
details.

3.7.1.2 Add Network Printer

1. Make sure the target network printer and the ultrasound system are both connected into
the same LAN.
2. Check the IP address of the network printer (for details, please refer to the accompanying
documents of the printer).

System Preparation 3-7

3. Enter [Setup]->[Print Preset]->”Printer Driver” page, click [Add Network Printer] to enter
the screen, type in the IP address of the network printer. (Port is 9100 in default).
4. Click [Verify Net Printer], the IP address, name and port information of the network printer
will be displayed under the “Port” box. Change the port to match the verified printer
information if necessary.
5. Click [OK] to enter the ppd installing screen:
 Select PPD file from media: select the path from the external media and install.
 Select PPD file from database: select the ppd. file integrated in the ultrasound system.
6. After the ppd. file is installed completely, enter the printer name to finish the installation.
7. After installation succeeds, the system returns to the “Printer Driver” page and displays
the added network printer.

3.7.1.3 Add Shared Printer

1. Make sure the target computer or the server (to be connected to the ultrasound system
with the shared printer) has set a shared printer (under Windows operating system, enter
[Printers and Faxes] and right click the target printer and select “Share” to set).
2. As the system is connected into the LAN, open [Setup]-> [Print Preset]-> “Printer
Driver“ screen.
3. Click [Add Shared Printer], and input information of the printer (IP Address, User Name,
Workgroup and password of the computer or server, and Shared Printer Name).
4. Click [Verify] to verify the connection, and click [OK] if the system prompts normally.
5. Select the ppd. file in the displayed dialogue box: you can either select from the
ultrasound system integrated database, or media (USB disk).
6. Enter the name for the printer and click [OK], the system then starts installation. After
installation succeeds, the system returns to the “Printer Driver” page and displays the
added shared printer.

NOTE: 1. Before connecting the shared printer, make sure the ultrasound system and
the computer or server (connected with shared printer) are in the same
network domain, and the network is working normally.
2. The IP address and the server name should be valid, e.g. \\10.2.40.123 or
\\5-HP, otherwise, the system will fail to connect.
3. If the server has set accessing limitation, the system will prompt a dialogue
box to identify the user. Enter the correct user name, domain name and
password, and then click [OK].

3.7.1.4 iStorage UltraAssist Print

The system supports printing by iStorage function. Before using this function, please make sure
that the iStorage server has configured a defaulted printer, and the ultrasound system has
configured an iStorage server. For details, please refer to “11.7 Network Preset”.
1. Enter [Setup]->[Print Preset]->”Printer Driver” and check iStorage printer status, which
should be AssistPrinter@IP address with “Ready” status.
2. Click “Print Service” to enter the screen, and select AssistPrinter@IP address to be the
printer for the Report Print service.
3. Click [Save] .

3.7.1.5 Print Service

You can use a graph/ text printer to print report or images.

3-8 System Preparation

  To set the default report printer and its attribute:
In "[Setup]-> [Print Preset]" screen, select the "Print Service", select “Report Print”
column in the service list, set the items in the "Property" box.
 Report print:
Click [Print] in the report dialog box to print a report; or, use the user-defined key to
print, see "11.1.6 Key Config" for details.Please refer to the accompanying manuals
of the printers for more details.

3.8 Digital Video Printer

 Install a local printer
1. Put the printer in a proper place.
2. Connect the printer (VIDEO IN port) and the ultrasound system (USB port) with the data
cable.
3. Load a paper roll, and turn on the system and printer.
4. Install the printer driver (steps are the same as of graph/text printer, please refer to “3.7
Graph / Text Printer” for details). And you need not install the driver of the printer listed in
section “2.5.4 Peripherals Supported”.
5. Add a print service:
(1) Open [Setup]-> [Print Preset]->[Print Service].
(2) Click [Add Service] to enter the following page.

(3) Select the service type as "Digital Image Print" and enter the service name manually.
(4) Click OK to return to the Printer Service page.
(5) Set the items in the Property box and click [Save] to save the settings.
 Image print
For DICOM image printing, refer to “10 DICOM”.
 Modify print service:
a) Select an existed printer service in the list.
b) Select the printer type in the Property box.
c) Set the attribute: paper size, orientation, etc.
d) Click [OK] to confirm.
 Image print
 Select the image to be printed on the iStation or Review screen, and click [Send
To] to select the printer to print.
Please refer to the accompanying manuals of the printers for more details.

3.9 Analog Video Printer

1. Connect the printer (VIDEO IN port) and the ultrasound system (S-Video on IO panel)
with the signal cable;
2. Connect the Remote cable on printer to the Remote port on the ultrasound system.

System Preparation 3-9

3. Connect the power cord to a power supply receptacle that is well grounded.
4. Install the printer driver (steps are the same as of graph/text printer, please refer to “3.7
Graph / Text Printer” for details). And you need not install the driver of the printer listed in
section “2.5.4 Peripherals Supported”.
5. Add a print service. Please refer to “3.8 Digital Video Printer”.

3.10 External DVD

1. Connect the USB cable of the DVD recorder to the USB port on the ultrasound system
(all USB ports available).
2. Connect the power adapter of the DVD on the power supply.

3.11 Basic Screen and Operation

3.11.1 Basic Screen
The following diagram maps out the different areas in the screen:
Hospital name Accession#
Patient Information Freeze
Logo Operator Exam time
icon
Probe Acoustic power, MI/TI
Product Mode
Exam Mode

Menu area Image area Image Parameters

Thumbnail Cine Review Area

preview&
zoom Bodymark & Comment
window

Thumbnail Area of Images Saved

Help information area System status icon

 Information Area
The information area displays manufacturer logo, hospital name, exam date & time,
acoustic power & MI/TI, freeze icon, patient information, probe model, current exam mode,
and accession #, etc. It can be preset whether to display the operator, patient gender, age,
ID, name etc. via [Setup]-> [System Preset]-> [General]. See “11.1.2 General” for detailed
preset procedures.

3-10 System Preparation

 Menu area
Include image menu, measurement menu, comment menu, bodymark menu and so on.
Use the trackball or the multifunctional knob to operate on the menu.
 Image area
The image area displays the ultrasound images, probe mark (or activating window mark),
time line (in M mode), coordinate axis (including depth, time, velocity/frequency), focus
position (located at depth axis in the form of ), besides, the annotation, bodymark,
measurement calipers, grayscale bar are also displayed here.
 Grayscale/ color bar
Displays the grayscale/ color bar corresponding to the current mode.
 Cine Review area
Displays the cine review progress bar to indicate the cine replay progress.
 Thumbnail preview & Zoom Window (image-in-image)
In the zoom status, this area displays the thumbnail of a complete image, and a
rectangular frame is used to highlight the currently magnified area. This feature is called
image-in-image.
 Help information area
The help information area displays various help information or progress bar in the current
status.
Besides, the system can provide help for each key. Press [Help] to enter key-help status,
you can see the cursor changes into an arrow with a question mark on it. Press any key
on the control panel, the screen displays the key-relevant information, meanwhile, the
system exits the key-help status.
Tips: in terms of help information, “TB” refers to “Trackball”, “Knob refers to Multifunction
knob.
 Thumbnail area of images stored
Displays the thumbnail images stored under the current patient.
 System status icon
This area displays the relevant system icons, such as USB memory device, printer,
network, Chinese / English entry, and current system time, etc.
 None-fixing Area
Position of areas illustrated here are not fixed, you can move them by the trackball within
a certain area on the display.
 Result window
The measurement result window displays the results of recently performed
measurements.
To move the result window:
a) Place the cursor on the title of result window (you can see the cursor changes
into ).
b) Press <Set> and move the trackball, the window moves together with the cursor.
c) Move the cursor to the target position, press [Set] again to anchor the result
window in the target position.
 Comment area
For details, please refer to “8 Comments and Body Marks”.
 Body mark area
For details, please refer to “8 Comments and Body Marks”.

System Preparation 3-11

3.11.2 Basic Operations of Screens
Title
Tab

Contents

Control
button

Composition Description
The title bar is used to give a description for the content and
Title Bar
function of the screen.
Use the selection pointer and <Set> key to open / close the
Page Tab
available pages.
 Radio button: click to select the item.
 Check box: click to check or uncheck the item.
Content  Entry box: enter characters manually via the keyboard. .
 Drop-down list box: click [▼] to show the list and select
an item.
When the operation of a screen is complete, press the [OK]
[OK] and [Cancel] or [Cancel] button to save or cancel the operation, and close
the screen.
To reposition a dialogue box:
1. Roll the trackball to move the cursor onto the title bar of the dialogue box. At this time the
cursor becomes a ; press the [Set] key.
2. Roll the trackball and reposition the rectangular graphic to the new desired location.
3. Press the <Set> key, and the dialogue box is moved to the desired position.

3-12 System Preparation

4 Exam Preparation
Before examining a new patient, press <End Exam> to end the
CAUTION: exam of the previous patient, update the patient ID and
information, to avoid mixing data of the next new patient.

4.1 Start an Exam

You can start a patient exam in the following situations:
 New patient information: to start a new patient exam, enter the patient information
first, for details, please refer to “4.2.1 New Patient Information”; however, the system
also supports anonymous patient exam, in which you can take the exam without
registering patient information.
 New exam: to start a new exam for an already recorded patient, the recorded
information can be obtained either through iStation or Worklist, refer to "4.2.2.1
iStation" and "4.2.2.2 DICOM Worklist" for details.
 Activate an exam: select an exam that is ended within 24 hours, and continue the
exam with the imported patient information and exam data. For details, please refer
to “4.5 Activate& Continue an Exam”.
 Continue an exam: select an exam that is paused within 24 hours, and continue the
exam with the imported patient information and exam data. For details, please refer
to “4.5 Activate& Continue an Exam”.
General procedure for an exam: enter the patient information-> select an exam mode and
probe -> choose an imaging mode -> start the exam.
To start a new patient exam, it is better to enter the detailed patient information. The system
will set up a unique information database for each patient based on the patient information
entered, so that the information of one patient will not be confused with that of another patient.

4.2 Patient Information

 To enter the "Patient Info" screen
 Press <Patient>, or,
 Move the cursor onto the patient information area on the display and press <Set> to
open the screen.
 To exit the "Patient Info" screen
 Click OK on the "Patient Info" screen; or, press <Patient> on the control panel again,
to save the settings and exit the screen.
 Click [Cancel] or press <Esc> to exit the screen without saving any of the entered
patient data.
 Press <B> or <Freeze> to return to the current exam mode with the entered
information being saved.
 Click [Quick Register] on the screen to save the patient information quickly and return to
the main screen.

4.2.1 New Patient Information

The Patient Info page is shown as below:

Exam Preparation 4-1

Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor
appears. Information can be entered or selected from the options.
You can also change the cursor position by <Tab>, <Enter> or up/down controls.

2
3

4
Information includes:
1. General information
 Name
Enter patient name through the keyboard. Characters of A through Z and 0 through 9 and
“.” are allowed. “\”, “^” and “＝” are not permitted.
 Patient ID
Patient ID is generated automatically by the system after starting a new patient, and can
be modified manually. Once you enter the ID and confirm it, you are not allowed to
change it.
 Other ID
The second ID of the patient used for other information like insurance ID.

NOTE: 1. “\”, “?” and “*” is not permitted.

2. If enter an ID that is already existed in the system, a warning “The ID
existed, load data” prompts, and you can import the patient data. The
patient data can be edited after importing.
 Gender
Select Male, Female or Unknown for patient gender in the drop down list.
 DOB (Date of birth):
 You can either enter the birth date of a patient manually;
 Or, click to select the date, and click [OK] to confirm.
 Age
 Auto generated age: once the DOB is gotten, the system can display an auto-
generated age in the field box, the unit can be “Years”, “Months” or “Days”. If the

4-2 Exam Preparation

 age is less than one year, the system will automatically calculate the age in
months or days.
 Also, you can manually enter the age.
NOTE: When you enter the date manually, please enter it in the format as that of the
system.
2. Exam Type
 Exam application type
You can select among: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology), CARD
(Cardiac), VAS (Vascular), URO (Urology), SMP (Small Part), PED (Pediatrics), and
BREAST (Breast).
Select the exam type tab to enter the exam-specific information.
 General information:
Study to enter description for each exam.
description:
Primary to enter the primary indications (reason to perform the
indications: exam.)
Secondary to enter the secondary indications.
indications:
CPT4 code: to enter the CPT4 code.
CPT4 to enter the CPT4 description.
description:
 Exam specified information:
Exam Type Information Description
Height /

ABD
Weight /
(Abdomen) BSA (body After the height and weight are inputted, the system will
surface automatically calculate the BSA based on the formula which
area) is set via [Setup]-> [System Preset]-> [General].
Calculate gestation age (GA) and estimated delivery date
(EDD) based on last menstrual period (LMP), in vitro
fertilization (IVF), basic body temperature (BBT), previous
exam date (PRV). Select LMP, IVF, PRV, BBT, or EDD from
the drop-down list; or, calculates GA and LMP according to
the EDD and entered date.
 LMP: After you enter LMP, the system will calculate
Calculation and display GA and EDD.
index  IVF: After you enter IVF, the system will calculate GA
OB and EDD.
(Obstetric)  PRV: input the date and GA of the last exam, the
system will calculate a new GA and EDD.
 BBT: input BBT, the system will calculate the GA and
EDD.
 EDD: after you enter EDD, the system will calculate
and display GA and LMP.
Gravida Times of pregnancy.
Ectopic Times of abnormal pregnancy. e.g. extrauterine pregnancy
Gestations Number of embryos (default value is 1)

Exam Preparation 4-3

 Exam Type Information Description
Para Times of delivery
Aborta Times of abortion
LMP Last menstrual period
Gravida Times of pregnancy.
GYN
Para Times of delivery
(Gynecology)
Ectopic Times of abnormal pregnancy. e.g. extrauterine pregnancy
Aborta Times of abortion
Height /
Weight /
BSA (body After the height and weight are inputted, the system will
CARD surface automatically calculate the BSA based on the formula which
(Cardiac) area) is set via [Setup] -> [System Preset] ->[General].
BP Blood pressure.
HR /
RA Press Right Atrium Pressure

VAS BP(L) Input left blood pressure.

(Vascular) BP(R) Input right blood pressure.
Serum PSA /
URO
(Urology) PPSA
/
coefficient
SMP (Small
None /
Parts)
PED
None /
(Pediatrics)

BREAST Height /
(Breast) Weight /
3. Operating Information
 Ref. Physician: the people who requires the operator to do the ultrasound operation.
“\”, “^” and “＝” are not permitted.
 Diagnostician: people who is responsible for exam. “\”, “^”, “＝” and “,” are not
permitted.
 Operator: people who is responsible for images collection and scanning. “\”, “^” and
“＝” are not permitted.
 Accession #: exam number used in DICOM, “\” is not permitted.
 Comment: exam-specific explanation or remarks.
4. Functional key
 [New Patient]: click to clear the current patient information in the patient information
screen in order to input new patient information.
 [New Exam]: click to clear the current exam information in order to create a new
exam for the current patient.
 [Pause Exam]: to pause the current exam.
 [Cancel Exam]: to cancel the current exam.

4-4 Exam Preparation

  [OK]: click to save the patient data entered and exit the screen.
 [Cancel]: click to cancel the patient data entered and exit the screen.

4.2.2 Retrieve Patient Information

4.2.2.1 iStation
The patient data can be obtained in iStation from the system hardware or USB memory
device. You can enter the searching conditions for the patient.
1. To enter iStation screen (the screen is shown as follows):
 Press <iStation> on the control panel; or,
 Click [iStation] in the "Patient Info" screen; or
 Press the <Review> key on the control panel and click [iStation] in the screen.

2. Select the data source:

Select the data source in the drop-down list of "Data Source".
3. Input the searching condition:
Item: including Name, ID, DOB and Exam Date, the default one is name; then enter a
keyword in accordance with the Item selected.
 Select “Find in results”, the system will search the keyword based on the existed
searched results.
4. Select the desired patient information in the list. The following menu pops up:

Exam Preparation 4-5

 Button Function Description
Review
Click to enter the Review screen.
Image
Patient
Click to enter the Patient Info screen.
Info
Review
Click to enter the Diagnostic Report screen.
Report
Delete
Click to delete the selected record.
Exam
Backup
Click to export the selected patient data to media supported.
Exam
Restore
Click to import the patient data from an external media.
Exam
Send Click to send the selected patient data to external device,
Exam DICOM storage server or DICOM printer.
Active
Click to continue an exam finished within 24 hours.
Exam
Continue Click to continue an unfinished exam carried out within 24
Exam hours.
Other buttons:
 [New Exam]: Click to enter Patient Info screen, meanwhile, the corresponding patient
information is also imported to the new exam. After you edit the patient information in
the Patient Info screen, select [OK] to start a new exam.
 [Select All Exams]: Click to select all records.
 [Exit]: click to exit iStation.

4.2.2.2 DICOM Worklist

When the DICOM basic package is configured and the Worklist server has been set, click
[Worklist] in the "Patient Info" screen to query or import the patient data. (For the setting of
Worklist server, please refer to “10 DICOM”.)
Procedure:
1. Select data source: choose a worklist server in the drop-down list of “Worklist Server”,
and then all the patient exam records in the server are listed out.
2. Input the searching condition:
 Select exam date period, click [Query] to search the patient data in the period.
 Enter patient ID, patient name, accession #, the system affords the result in real-time.

4-6 Exam Preparation

  Or select the keyword type, enter the keywords and then click [Query] to search.
 To reset the criteria, click [Clear] button.
3. Select the desired patient from the list.
 Click [Start Exam], the patient information is imported into the system and then an
exam is started.
 Click [Transfer], the patient information is imported into the Patient Info screen. Edit
the patient information in the Patient Info screen, and select [OK] to start a new exam.
 Click [Show Detail] to see details of patient data.
4. Click [Exit] to exit the Worklist.

4.3 Select Exam Mode and Probe

If the exam mode is changed during a measurement, all
CAUTION: measurement calipers on the image will be cleared. The data of
general measurements will be lost, but the data of application
measurements will be stored in the reports.

4.3.1 Selecting Exam Mode and Probe

 Select Probe and Exam Mode
(1) Connect proper probes to the system, and press <Probe> to open the following dialog
box.

(2) Roll the trackball and press <Set> to select the exam mode, and use the direction
keys to turn pages of the exam modes.

Exam Preparation 4-7

 To save the image parameters for the current exam mode quickly:
Click [QSave] to save the image parameters in the current image mode as presets. A
dialogue box pops up to prompt you the operation will cover the current image preset data.
 Click [Exam Preset] to enter the exam preset screen. For exam preset, please refer to
"11.2 Exam Preset".
 Exit:
Click [Exit] or press <Probe> to exit, press <B>, <Freeze> or <ESC> can also exit the
screen.

4.4 Selecting Imaging Mode

Use the corresponding key in the control panel to enter the imaging modes.
For the detailed operations in each imaging mode, please refer to “5 Image Optimization”.

4.5 Activate& Continue an Exam

4.5.1 Activate an Exam
Select an exam finished within 24 hours, select the exam record, click from the menu
popped up; or, click [Active Exam] in “iStation” or “Review” screen to activate the exam.
Note:
 The system can automatically load the patient information and exam data to continue
the exam.
 If you want to continue an exam which data lies in an external memory database, you
have to first allow the system to load the patient data to the system’s patient
database.

4.5.2 Continue an Exam

Select an exam paused within 24 hours, select the exam record in iStation screen, click
from the menu popped up to continue the exam.
If you want to continue an exam which data lies in an external memory database, you have to
first allow the system to load the patient data to the system’s patient database.

4.6 Pause & End an Exam

4.6.1 Pause and Exam
 Sometimes, you have to stop an uncompleted exam due to some special causes. When
the exam is paused, the system can begin other exams.
1. Press <Patient> to enter "Patient Info" screen.
2. Click [Pause Exam].
 If the system is powered off during scanning, the exam status turns "paused" after the
system restart.
When an exam is paused, the system will:
1. Saves the exam-related images, reports and measurement data, modifies the status as
“Paused”.

4-8 Exam Preparation

2. Save the exam information, including report, imaging mode, exam mode, image
parameters, operation mode, imaging / measurement data and so on.

4.6.2 End an Exam

Before examining a new patient, press <End Exam> to end the exam of the previous patient,
update the patient ID and information, to avoid mixing data of the next new patient.
To end an exam, you can do one of the following:
 Press <End Exam> on the control panel.
 Click [New Patient] on the Patient Info screen to end the last patient exam and clear
the patient information.
 Click [New Exam] on the Patient Info screen (or iStation screen, or Review screen) to
end the last exam and clear the exam data.

Exam Preparation 4-9

5 Image Optimization
1. The images displayed in this system are only reference for
WARNING: diagnosis. Mindray is not responsible for the correctness of
diagnostic results. It is the responsibility of the clinician,
who performs the exam, to capture the correct diagnostic
results.
2. In Dual-B imaging mode, the measurement results of the
merged image may be inaccurate. Therefore, the results are
provided for reference only, not for confirming a diagnosis.

5.1 Imaging Mode

Switch the image modes referring “2.6.3 Control Panel”.

5.2 Basic Operations

Before optimizing the image by adjusting image parameters, adjust the brightness and
contrast of the display to the best.
Requirement Available Operations
Adjust gain
Adjust TGC
To modify the brightness
Adjust [A. power] (do try to adjust gain first before
increasing the acoustic power)
Adjust [Dynamic Range]
To modify gray scale image Adjust [Gray Map]
effect Adjust [Persistence]
Adjust [iClear]
Decrease depth
To increase frame rate of gray Decrease the [Focus Number] in B mode
scale imaging Decrease the [FOV] in B mode
Decrease [Line Density]
Decrease ROI in Color/Power mode
To increase frame rate of color Turn on [B/C Align] in Color/Power mode
imaging Decrease [Packet Size] in Color mode
Decrease [Line Density]

Image Optimization 5-1

 Requirement Available Operations
Adjust [Frequency]
Adjust [Scale]
To modify flow images effect
Adjust [Packet Size]
(Resolution and sensitivity)
Adjust [Line Density]
Adjust [Smooth]

 Adjusting through Image Menu:

Use the trackball and <Set> or the multifunctional knob to adjust.
 Adjusting through control panel:
Trackball, control panel key, knob or sliders.

5.3 Quickly Saving Image Setting (QSave)

To enter image parameter saving screen:
 Press <Probe> and click [QSave], or;
 Press the user-defined key for QSave function.
 Save image parameter adjustment:
Click [Save] to save the current image values for the current exam mode of the certain
probe.
 Create a new exam data (using current image parameter setting):
Enter the name in the box after the “Save As” to assign a name for a user-defined exam
mode, and click [Create] to save the current image parameters, measurements,
comments, body mark settings to the exam mode.
 Restore factory setting:
Settings of the current exam mode and the probe can be restored to factory data by clicking
[Restore].

5.4 B Mode
B mode is the basic imaging mode that displays real-time images of anatomical tissues and
organs.

5.4.1 B Mode Exam Protocol

1. Enter the patient information, and select the appropriate probe and exam mode.
2. Press <B> on the control panel to enter B mode.
3. Adjust parameters to optimize the image.
4. Perform other operations (e.g. measurement and calculation) if necessary.
In real-time scanning of all image modes, press <B> on the control panel to return to B mode.

5.4.2 B Mode Parameters

In B mode scanning, the image parameter area in the upper left corner of the screen displays
the real-time parameter values as follows:
Display F D G FR DR iClear iBeam iTouch Zoom

5-2 Image Optimization

Parameter Frequency Depth Gain Frame B Display when the function is
Rate Dynamic turned on
Range

5.4.3 B Mode Image Optimization

Gain
Description To adjust the gain of the whole receiving information in B mode. The real-time
gain value is displayed in the image parameter area in the upper left corner of
the screen.
Operation Rotate the <Gain/iTouch> knob clockwise to increase the gain, and
anticlockwise to decrease.
The adjusting range is 0-100.
Effects Increasing the gain will brighten the image and you can see more received
signals. However, noise may also be increased.

Depth
Description This function is used to adjust the display depth of sampling, the real-time
value of which is displayed on the image parameter area in the upper left
corner of the screen.
Operation Use the <Depth/Zoom> knob to adjust the depth;

The adjustable depth values vary depending upon the probe types.
Effects Increase the depth to see tissue in deeper locations, while decrease the depth
to see tissue in shallower locations.
Impacts Depth increase will cause a decrease in the frame rate.

TGC
Description The system compensates the signals from deeper tissue by segments to
optimize the image.
There are 8-segment TGC sliders on the control panel corresponding to the
areas in the image.
Operation To increase the gain compensation at an area of interest, move the TGC slider
to the right. To decrease the gain compensation at the corresponding area of
interest, move the TGC slider to the left.
About 1.5s after the adjustment is finished, the TGC curve disappears.
Effects Adjust the signal gain for the certain image area to get a balanced image.

Frequency
Description This function is used to select the operating frequency of the current probe,
the real-time value of which is displayed in the image parameter area in the
upper left corner of the screen, where “F” represents B mode frequency, and
“FH” represents harmonic frequency.

Image Optimization 5-3

Operation Adjust it through [Frequency] on the image menu or rotate the
<Focus/Freq./THI> knob on the control panel, wherein “H” means the
harmonic frequency.
Values of frequency vary depending upon the probe types. Select the
frequency according to the detection depth and current tissue characteristics.
Effects The higher the frequency the better the near field resolution but the worse the
force of penetration.
Harmonic imaging enhances near field resolution and reduces low-frequency
and large amplitude noise, so as to improve small parts imaging.

A. power
Description Refers to the power of ultrasonic wave transmitted by the probe, the real-time
value of which is displayed in the image parameter area in the upper left corner
of the screen.
Operation Adjust through the [A.Power] item in the image menu;
The adjusting range is 7%-100% in increments of 3%.
Effects Generally, increasing the acoustic power will increase the brightness and
contrast of the image as well as the force of penetration.
Impacts You should perform exams according to actual situation and follow the ALARA
Principle.

Focus
Description Refers to adjustment of focus of the ultrasonic beams, symbols as " " of
which will be displayed on the right of the image.
Operation Adjust the focus number through the [Focus Number] in the menu;
Adjust the focus position through the [Focus Position] in the menu;
In B Mode, focus number can be switched among 1-4.
Effects The area that is focused will be of a higher contrast and resolution to provide
a much clearer image.
Impacts The greater the number of focus, the slower the frame rate to image.

Imaging Display Adjustment

Description More information can be obtained without moving the probe or changing the
sampling position.
FOV (Field 1. To change the scan range, click [FOV] on the image menu to enter the
of View) FOV range and FOV position adjustment status.
2. Press <Set> to switch between adjusting FOV position and FOV range.
3. Rotate the trackball to adjust FOV position or the FOV range.
When the scan range is adjusted to the widest, the FOV position can not be
changed.
The FOV position/range is available only for the convex probes.

Steer This function is to steer the beam transmitted by the probe.

Adjust it by pressing <Steer> key on the control panel or click [Steer] on the
image menu.
The steering angles provided are: -6, 0, 6°.
This function is available only for linear probes.

5-4 Image Optimization

ExFov Click [ExFov] on the image menu to turn on/off the function.
For linear probes, the ExFOv function displays as trapezoid imaging.
For convex probes, the ExFOv function displays as extending the scanning
angle.
Impacts
You can get a much larger field of view when selecting a larger FOV, but the
frame rate will decrease.

Line Density
Description The function determines the quality and information of the image.
Operation Adjust through the [Line Density] item in the menu;
Levels: UH/ H/ M/ L.
Effects The higher the line density, the higher the resolution, and the lower the frame
rate.

Dynamic Range
Description This function is used to adjust the B image resolution to compress or expand
the gray display range.
The real-time dynamic range value is displayed on the image parameter area
in the upper left corner of the screen.
Operation Adjust through the [Dyn Ra.] item in the menu;

The adjusting range is 30-220 in increments of 5.

Effects The more the dynamic range, the more specific the information, and the lower
the contrast with more noise.

iClear
Description This function is used to increase image profile, so as to distinguish the image
boundary.
Operation Adjust through the [iClear] item in the menu;
The system provides 5 levels of iClear effects adjustment, off represents no
iClear is turned on, and the bigger the value the stronger the effect.
Effects The bigger the value the clearer the profile of the image.

Persistence
Description This function is used to superimpose and average adjacent B images, so as to
optimize the image and remove noises.
Operation Adjust through the [Persistence] item in the menu;
The system provides 8 level of frame average adjustment, the bigger the
value the stronger the effect.
Effects Persistence can remove image noise to make details to be clearer.
Impacts Persistence increase may lead to signal missing.

Rotation/ Invert
Description This function provides a better observation for image display.

Image Optimization 5-5

Invert To invert the image horizontally or vertically.
Click [L/R Flip] or [U/D Flip] in the menu to invert the image.
Rotation Rotate the image through the [Rotation] item in the menu.
Image can be rotated by the manners in angle of 0°, 90°, 180°, 270°.
When the image rotates in the angle of 90°or 270°, the depth scale is
displayed on the upper part of the screen.
When you flip or rotate an image, the “M” mark will change its position on the screen; the M
mark is located in the upper left corner of the imaging area by default.
Impacts The function is available in real-time imaging, freeze or cine review status.

iBeam
Description This function is used to superimpose and average images of different steer
angles to obtain image optimization.
Operation Adjust through the [iBeam] item in the menu;
Off: no iBeam
On: maximum iBeam optimization
Effects Images after iBeam processing can be optimized with less spot noise and
higher resolution, so that more details for the structure are revealed.
Impacts iBeam is not available when ExFov function is turned on.

Auto Merge
Description In the Dual-split mode, when the images of the two windows use the same
probe type, depth, invert status, rotation status and magnification factor, the
system will merge the two images so as to extend the field of vision.
Operation Turn on/ off the function through the [Auto Merge] item in the menu;
Impacts Available only for linear probes.
The function is available in real-time imaging, freeze or cine review status.

Gray Map
Description Adjusting grayscale contras to optimize the image.
Operation Select among the maps through the [Gray Map] item in the menu.
The system provides 1-25 gray maps to be selected among.
Impacts The function is available in real-time imaging, freeze or cine review status.

Colorize and Colorize Map

Description Colorize function provides an imaging process based on color difference
rather than gray distinction.
Operation Turn on/ off the function through the [Colorize] item in the menu ;
Select the colorize map through the [Colorize Map] item in the menu;
The adjusting range are off, and 1-25.
Impacts The function is available in real-time imaging, freeze or cine review status.

5-6 Image Optimization

TSI
Description The TSI function is used to optimize the image by selecting acoustic speed
according to tissue characteristics.
Operation Select among the TSI modes through the [TSI] item in the menu;
The system provided 4 ways of optimization for specific tissues: general,
muscle, fluid and fat.

iTouch
Description To optimize image parameters as per the current tissue characteristics for a
better image effect.
Operation Press <Gain/ iTouch> on the control panel, the iTouch symbol will display in
the image parameter area.
Click [iTouch] on the image menu to adjust gain in iTouch status among -12
through 12dB.

Gray Invert
Description Reverse the polarity of the image.
Operation Click [Gray Invert] to turn on or off the image inversion.
Impacts The gray invert functions is available in real-time imaging, freeze or cine review
status.
Its post process adjustments will not influence the cine review.

HScale
Description Display or hide the width scale (horizontal scale).
The scale of the horizontal scale is the same as that of vertical scale (depth),
they change together in zoom mode, or when the number of the image
window changes. The HScale will be inverted when image is turned up/down.
Operation Click [HScale] on the menu to display or hide the scale.

LGC
Description Adjust the gain of scan lines to increase the image lateral resolution.
Operation Click [LGC] to access the adjusting dialog box.
The 8 LGC items displayed on the screen indicate the corresponding image
areas on the image screen.
Click corresponding [LGC1-8] to adjust the gain. The higher the value, the
higher the gain.
The system also provides several preset parameters for imaging.

5.5 M Mode
5.5.1 M Mode Exam Protocol
1. Select a high-quality image during B mode scanning, and adjust to place the area of
interest in the center of the B mode image.
2. Press <M> on the control panel, and roll the trackball to adjust the sampling line.

Image Optimization 5-7

3. Press <M> on the control panel again or <Update> to enter M mode, then you can
observe the tissue motion along with anatomical images of B mode.
4. During the scanning process, you can also adjust the sampling line accordingly when
necessary.
5. Adjust the image parameters to obtain optimized images.
6. Perform other operations (e.g. measurement and calculation) if necessary.

5.5.2 M Mode Parameters

 In M mode scanning, the image parameter area in the upper left corner of the screen
displays the real-time parameter values as follows:
Display F D DR G V
Frequency Depth M Dynamic Range M Gain M
Parameter
speed
 During M mode imaging, you can switch between B and M menu from the menu title.
 During M Mode scanning, frequency and acoustic power of the transducer are
synchronous with that of B Mode.
 Adjustment of the depth or TGC to the B Mode image will lead to corresponding changes
in M Mode image.

5.5.3 M Mode Image Optimization

Gain
Description To adjust the gain of M mode image. The real-time gain value is displayed in the
image parameter area in the upper left corner of the screen.
Operation Rotate the <Gain/ iTouch> knob clockwise to increase the gain, and anti-
clockwise to decrease.

The adjusting range is 0-100.

Effects Increasing the gain will brighten the image and you can see more received
signals. However, noise may also be increased.

Focus Position
Description To change the focus position in M mode, symbols as " " of which are displayed
on the right of the image.
Operation Adjust the focus position through the [Focus Position] item in the menu.

Display Format
Description To set the display format of M mode image with B mode image.
Operation Adjust through the [Display Format] item in the menu;
There are 4 formats available for the images display: V1:1, V1:2, V2:1, Full.
Effects Adjust according to the actual situation and obtain a desired analysis through
comparison.

5-8 Image Optimization

Speed
Description This function is used to set the scanning speed of M mode imaging, and the
real-time speed value is displayed in the image parameter area in the upper
left corner of the screen.
Operation Change the speed through the [Speed] item in the menu;

There are 6 levels of scan speed available, the smaller the value the faster the
speed.
Effects Speed changing makes it easier to identify disorders in cardiac cycles.

Colorize and Colorize Map

Description Colorize function provides an imaging process based on color difference rather
than gray distinction.
Operation Turn on or off the function through the [Colorize] item in the menu;
Select the colorize map through the [Colorize Map] item in the menu;
The adjusting range are off, and 1-25.
Impacts The function is available in real-time imaging, freeze or cine review status.

Gray Map
Description Adjusting grayscale contrast to optimize the image.
Operation Select among the maps through the [Gray Map] item in the menu.
The system provides 1-25 gray maps to be selected among.
Impacts The function is available in real-time imaging, freeze or cine review status.

Edge Enhance
Description This function is used to increase image profile, so as to distinguish the image
boundary.
Operation Adjust through the [Edge Enhance] item in the menu;
The system provides 14 levels of edge enhance effects, off represents no edge
enhance is turned on, and the bigger the value the stronger the effect.
Impacts Larger edge enhance may lead to noise increasing.

Dynamic Range
Description Adjusts contrast resolution of an image, compresses or expands gray display
range. The real-time dynamic range value is displayed on the image parameter
area in the upper left corner of the screen.
Operation Adjust through the [Dyn Ra.] item in the menu;

The adjusting range is 30-220 in increments of 5.

Effects The more the dynamic range, the more specific the information, and the lower
the contrast with more noise.

Image Optimization 5-9

M Soften
Description This feature is used to process the scan lines of M images to reject noise,
making the image details to be clearer.
Operation Adjust through the [M Soften] item in the menu;
The system provides 14 levels of M Soften adjustment, the bigger the value the
stronger the effect.

5.6 Color Mode Image Optimization

The Color mode is used to detect color flow information, and the color is designed to judge
the direction and speed of blood flow.
Generally, the color above the color bar indicates the flow towards the probe, while the color
below the color bar indicates the flow away from the probe; the brighter the color, the faster
the flow speed, while the darker the color, the slower the flow speed.

5.6.1 Color Mode Exam Protocol

1. Select a high-quality image during B mode scanning, and adjust to place the area of
interest in the center of the image.
2. Press <Color> to enter B+Color mode. Use the trackball and <Set> to change position
and size of the Region of Interest (ROI).
3. Adjust the image parameters during scanning to obtain optimized images.
4. Perform other operations (e.g. measurement and calculation) if necessary.

5.6.2 Color Mode Image Optimization

 In PW/ Color mode scanning, the image parameter area in the upper left corner of the
screen displays the real-time parameter values as follows:
Parameter F G PRF WF
Meaning Frequency Color Gain Pulse Repetition Frequency (PRF) Color Wall Filter
 In Color Mode, acoustic power is synchronous with that of B Mode. Adjustment of the
depth or zoom to the B Mode image will lead to corresponding changes in Color Mode
image.

5.6.3 Color Mode Image Optimization

Frequency
Description Refers to the operating frequency in Color mode of the probe, the real-time
value of which is displayed in the image parameter area in the upper corner of
the screen.
Operation Adjust it through [Frequency] on the image menu or rotate the <Focus/ Freq./
THI> knob on the control panel.
Values of frequency vary by probe. Select the frequency value according to the
need of the detection depth and the current tissue characteristics.
Effects The higher the frequency, the worse the axial resolution, and the better the
force of penetration.

5-10 Image Optimization

Color Gain
Description Refers to the overall sensitivity to flow signals, and this function is used to
adjust the gain in Color mode. The real-time gain value is displayed in the
image parameter area in the upper right corner of the screen.
Operations Rotate the <Gain/iTouch> knob clockwise to increase the gain, and
anticlockwise to decrease.
The adjusting range is 0-100.
Effects Increasing the gain will increase the flow signal presented as well as noise,
while the signals may be missing when the gain is adjusted too low.

Steer
Description The feature is used to adjust the ROI of color flow of different angles with
immobility of the linear probe.
Operations Adjust through the <Steer> key on control panel or [Steer] item on image
menu.
Effects This function is used to adjust the scan angle of linear probes, so as to change
the angle between the transmitting beam and flow direction.
Impacts Steer is valid only for linear probes.

Scale
Description This function is used to adjust the speed range of color flow, which is adjusted
through PRF in the system. The real-time PRF value is displayed in the image
parameter area in the upper right corner of the screen.
Operations Press the <Scale> key on the control panel and rotate the Multifunctional Knob
on the right to adjust.
The adjusting range varies by frequency, probe and depth; adjust according to
the actual situation.
Effects To provide a much clearer color flow image.
Use low PRF to observe low-velocity flows, and high PRF to observe high-
velocity flows.
Impacts Aliasing may occur if low velocity scale is used and high velocities are
encountered.
Low velocities may not be identified when a high velocity scale is used.

Baseline
Description Refers to the area where the velocity is zero in the scale. Adjust according to
the actual situation so as to get an optimum flow display.
Operations Press the <Baseline> key on the control panel and rotate the Multifunctional
Knob on the right to adjust.
Positive value means to increase the signals above the baseline, and negative
value means to increase the signals below the baseline.

Invert
Description To set the display mode of color flow and the color scale will be inverted when
the function is turned on.

Image Optimization 5-11

Operations Turn on or off the function through the [Invert] item on the image menu.
Select “Auto Invert” in the “[Setup] → [System Preset] → [Image]”, then the
color bar can automatically invert when the color flow is steered to a certain
angle to accommodate operator’s habit of distinguishing flow direction.

Priority
Description This function is used to set levels of the flow display, to display the grayscale
signal or color signal.
Operations Click the [Priority] item on the image menu to select the value.
The adjusting range of the priority is 0-100%.
The higher the value, color signals are prior to be displayed; while the lower
the value, grayscale signals are prior to be displayed.

Packet Size
Description This function is an indication of the ability to detect flow, which is used to
adjust the accuracy of color flow.
Operations Click the [Packet Size] item on the image menu to adjust the value.
There are 4 levels of packet size available, 0 represents no packet size control
and the bigger the value the higher the sensitivity.
Effects The higher the packet size, the more sensitive indication for low-velocity flow.
Impacts Adjusting the packet size may lead to frame rate changing.

Persistence
Description This function is to adjust the temporal smooth in Color mode to optimize the
image.
Operations Click the [Persistence] item on the image menu.
The system provides 5 levels of persistence adjustment, 0 represents no
persistence and the bigger the value the stronger the effect.

WF (Wall Filter)
Description It filters out low-velocity signals to provide effective information, and this
function is used to adjust the filtered frequency. The real-time value is
displayed in the image parameter area in the upper right corner of the screen.
Operations Click the [WF] item on the image menu.
There are 8 levels of wall filter function available, and adjust according to the
actual situation.
Impacts Flow signals may be missing.

Color Map
Description This function is a combination of several image parameters, which indicates
the display effect of color image.
Operations Click the [Color Map] item on the image menu to select among the maps.
The system provides 21 different maps to be selected among, where the V
group provides 11 ordinary maps and the VV group provides 10 2-D maps.

5-12 Image Optimization

B/C Align
Description To set and constrain the maximum width of the B mode image to that of the
Color ROI.
Operations Turn on or off the function through the [B/C Align] item on the image menu.
Impacts Frame rate increases when the function is turned on.

Dual Live
Description This function is used to display B image and Color image synchronously.
Operations Turn on or off the function through the [Dual Live] item on the image menu.
When the function is turned on, the window will be automatically switched to
the dual windows (one for B image, and the other for Color image).

Line Density
Description Line density determines the quality and information of the image.
Operations Adjust through the [Line Density] item on the image menu.
There are 4 levels of line density provided: H, L, UH, M.
Effects The higher the line density, the higher the resolution.
Impacts The higher the line density, the lower the frame rate.

ROI Adjustment
Description This function is to adjust the width and position of ROI in Color mode.
Operations When the ROI box is dotted line, roll the trackball to change the size.
When the ROI box is solid line, roll the trackball to change the position.
Press <Set> to switch between the solid line and the dotted line.
Impacts The larger the ROI box, the lower the frame rate, and the lower the resolution
and color sensitivity.

Smooth
Description This feature is used to reject noise and smooth the image.
Operations Adjust through the [Smooth] item on the image menu.
The system provides 5 levels of smooth function, the bigger the value the
higher the smooth.

5.7 Power Mode Image Optimization

Power mode provides a non-directional display of blood flow in the form of intensity as
opposed to flow velocity.
DirPower (Directional Power mode) provides additional information of flow direction towards
or away from the probe.

5.7.1 Basic Procedures for Power Mode Imaging

1. Select a high-quality image during B + Color scanning, and adjust to place the area of
interest in the center of the image.

Image Optimization 5-13

2. Click [Power] on image menu to enter B + Power mode. Roll the trackball to change
position of the Region of Interest (ROI) and press the <Set> key to set. Roll the trackball
to change the size and position of ROI.
3. Adjust the image parameters during B + Power mode scanning to obtain optimized image.
4. Perform other operations (e.g. measurement and calculation) if necessary.

5.7.2 Power Mode Image Parameters

 In Power mode scanning, the image parameter area in the upper right corner of the
screen displays the real-time parameter values as follows:
Parameter F G PRF WF
Meaning Frequency Power Gain Pulse Repetition Power Wall Filter
Frequency (PRF)
 In Power mode, acoustic power is synchronous with that of B mode. Adjustment of the
depth to the B mode image will lead to corresponding changes in Power mode image.
Parameters consistent with those in Color mode and B mode are not to be introduced, please
refer to relevant sections of the Color mode and B mode, while special items of the Power
mode are introduced in the following.

5.7.3 Power Mode Image Optimization

Power Gain
Description Refers to the overall sensitivity to flow signals, and this function is used to
adjust the gain in Power mode.
The real-time gain value is displayed in the image parameter area in the upper
right corner of the screen.
Operations Rotate the <Gain/iTouch> knob to adjust the gain.
The adjusting range is 0-100.
Effects Increasing the gain will increase the flow signal presented as well as noise,
while the signals may be missing when the gain is adjusted too low.

Power Map
Description This feature indicates the display effect of Power image.
The maps in the Power mode image are grouped into two categories: Power
maps and Directional Power maps.
Operations To select among the maps, turn the knob under [Map] on the image menu.
There are 8 kinds of maps provided: P0-3 belong to Power mode maps, while
Dp0-3 belong to Directional Power mode maps.
The Power maps provide information of blood flow, which are highly sensitive
to the low-velocity flows.
The Directional Power maps provide information of flow direction.

Dynamic Range
Description This function is to adjust the transformation of echo intensity into color signal.
Operations Click the [Dynamic Range] item on the image menu to adjust the dynamic
range.
The adjusting range is 10-70dB in increments of 5dB.

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Effects Increasing dynamic range will lead to higher sensitivity to low-power signals,
thus enhances the range of signals to display.

5.8 PW Doppler Mode

PW (Pulsed Wave Doppler) mode is used to provide blood flow velocity and direction utilizing
a real-time spectral display. The horizontal axis represents time, while the vertical axis
represents Doppler frequency shift.
PW mode provides a function to examine flow at one specific site for its velocity, direction and
features.

5.8.1 Basic Procedures for PW Mode Exam

1. Select a high-quality image during B mode or B + Color (Power) mode scanning, and
adjust to place the area of interest in the center of the image.
2. Press <PW> to adjust the sampling line,
 The sampling status will be displayed in the image parameter area in the upper right
corner of the screen as follows:

PW Sampling Line SV
Adjustment
Angle
SVD
3. Set the position of the sample line by moving the trackball left and right, and set the SVD
by moving the trackball up and down, adjust the angle and SV size according to the
actual situation.
4. Press <PW> or <Update> to enter PW mode again and perform the examination. You can
also adjust the SV size, angle and depth in real-time scanning.
5. Adjust the image parameters during PW mode scanning to obtain optimized image.
6. Perform other operations (e.g. measurement and calculation) if necessary.

Image Optimization 5-15

5.8.2 PW Mode Image Parameters
In PW mode scanning, the image parameter area in the upper right corner of the screen
displays the real-time parameter values as follows:
Parameter F G PRF WF SVD SV Angle
Meaning Frequency Gain PRF Wall Filter SV Position SV Size Angle
 When you adjust the depth of the B mode image, related changes will occur in PW mode
image as well.

5.8.3 PW Mode Image Optimization

Gain
Description This function is intended to adjust the gain of spectrum map. The real-time
gain value is displayed in the image parameter area in the upper right corner
of the screen.
Operations Rotate the [Gain/iTouch] knob to adjust the gain.
The adjusting range is 0-100.
Effects Increasing the gain will brighten the image and you can see more received
signals. However, noise may also be increased.

Frequency
Description Refers to the operating frequency in PW mode of the probe, the real-time value
of which is displayed in the image parameter area in the upper left corner of the
screen.
Operation Select the frequency value through the [Frequency] item in the image menu or
rotate the <Focus/Freq./THI> knob on the control panel.
Values of frequency vary depending upon the probe types.
Select the frequency according to the detection depth and current tissue
characteristics.
Effects The higher the frequency, the better the resolution and sensitivity, and the
worse the force of penetration.

Baseline
Description Refers to the area where the velocity is zero in the spectrum.
Operations Press the <Baseline> key on the control panel and rotate the Multifunctional
Knob on the right to adjust.
Effects To change the range of flow velocity to optimize the image.

PW Steer
Description This function provides adjustment on angles for sampling line.
Operations Adjust through the <Steer> key on control panel or [Steer] item on image
menu.
Effects This feature is used to steer the direction of the beam so as to change the
angle between the beam and flow direction with immobility of the linear probe.
Values of steer angles vary by probe.
Steer is available only for linear probes.

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Invert
Description This function is used to set the display manner of spectrum.
Operations Turn on or off the function through the [Invert] item on the image menu.
Select “Auto Invert” in the “[Setup] → [System Preset] → [Image]”, thus the
spectrum can automatically invert when the color flow is steered to a certain
angle to accommodate operator’s habit of distinguishing flow direction.

Scale
Description This function is used to adjust the speed range of flow, which is adjusted
through PRF in the system.
The real-time PRF value is displayed in the image parameter area in the
upper right corner of the screen.
Operations Press the <Scale> key on the control panel and rotate the Multifunctional
Knob on the right to adjust.
Effects To provide a much clearer color flow image.
Use low PRF to observe low-velocity flows, and use high PRF to observe
high-velocity flows.
Impacts Aliasing may occur if low velocity scale is used and high velocities are
encountered.
Low velocities may not be identified when a high velocity scale is used.

Wall Filter
Description It filters out low-velocity signals to provide effective information, and this
function is used to adjust the filtered frequency. The real-time value is
displayed in the image parameter area in the upper right corner of the screen.
Operations Select through the [WF] item on the image menu.
There are 7 levels of wall filter function provided.
Impacts Signals of low-velocity flow may be missing.

T/F Res
Description This function is used to adjust for a balance between time resolution and
spatial resolution.
Operations Adjust through the [T/F Res] item on the image menu.
There are 5 levels of T/F Res values available.

Dynamic Range
Description The dynamic range conveys the information that being transformed from echo
intensity to gray scale.
Operations Adjust through the [Dynamic Range] item on the image menu.
The adjusting range is 24-72dB in increments of 2dB.
Effects The more the dynamic range, the more specific the information, and the lower
the contrast with more noise.

Image Optimization 5-17

HPRF
Description HPRF mode is used when detected velocities exceed the processing
capabilities of the currently selected PW Doppler scale, or when the selected
anatomical site is too deep for the selected PW Doppler scale.
Operations Turn on or off the function through the [HPRF] item on the image menu.
Effects HPRF enhances the range of detecting high-velocity flow.

Speed
Description This function is used to set the scanning speed of PW mode imaging.
Operations Click the [Speed] item on the image menu.
There are 6 levels of scan speed available, the smaller the value the faster the
speed.
Effects Changing the speed makes it easier to identify the cardiac cycles and to
detect more details.

Display Format
Description To set the display format of PW mode image with B mode image.
Operations Click the [Display format] item on the image menu to adjust.
Options: V2:1, V1:2, V1:1, Full.

Audio
Description This function is used to adjust the output audio in spectrum map.
Operations Click the <Audio> item on the image menu to adjust the volume.
The adjusting range of the audio is 0-100%.
Effects Utilizing the output audio helps to identify the feature and status of flow.

Colorize and Colorize Map

Description Colorize function provides an imaging process based on color difference rather
than gray distinction.
Operation Turn on or off the function through the [Colorize] item in the menu;
Select the colorize map through the [Colorize Map] item in the menu;
The adjusting range are off, and 1-25.
Impacts The function is available in real-time imaging, freeze or cine review status.

Gray Map
Description Adjusting grayscale contrast to optimize the image.
Operation Select among the maps through the [Gray Map] item in the menu.
The system provides 1-25 gray maps to be selected among.
Impacts The function is available in real-time imaging, freeze or cine review status.

Duplex/ Triplex
Description This function is used to set if B image (B + Color image) and PW image are
displayed synchronously.

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Operations Click [Duplex/ Triplex] on the image menu to turn on or off the synchronization.

Auto Calculation
Description This function is used to trace the spectrum and calculate parameters of PW
mode image, and the results of which are displayed in the result window.
Auto Turn on or off the auto calculation function through the [Auto Calc] item on the
Calculation image menu.
Auto Select parameters in the dialogue box prompted by clicking [Auto Calc Param]
Calculation on the image menu.
Parameter
Auto Calc To set the number of heart cycle for auto calculation.
Cycle Click [Auto Calc Cycle] on the image menu to select the cycle number.
Operations In real-time scanning, the results displayed are derived from the calculation of
latest cardiac cycle;
In the freeze and cine status, the results displayed are calculated from the
current selected area.

Trace
Trace Area To set the trace area of the Doppler wave in the spectrum map, applicable for
auto calculation.
Change the trace area through the [Trace Area] item on the image menu.
The available selections are: Above, Below, All.

SV
Description To adjust the SV position and size of sampling in PW mode, the real-time
value of SV and SVD are displayed in the image parameter area in the upper
right corner of the screen.
SV size Click the [SV] on the image menu to adjust the SV size.
Value: 0.5-20mm.
SVD Roll the trackball to select the SV depth.
Effects The smaller the SV size, the more accurate the result; and more details are
obtained when selected large SV size.

iTouch
Description To optimize image parameters as per the current tissue characteristics for a
better image effect.
Operations Press <Gain/ iTouch> on the control panel to turn on the function.

Angle
Description This function is used to adjust the angle between Doppler vector and flow to
make the velocity more accurate.
The real-time adjusting angle value is displayed on the right part of the
spectrum map.
Operations Click the <Angle> item on the image menu to adjust.
The adjustable angle range is -89~89°, in increments of 1°.

Image Optimization 5-19

Quick Angle
Description To adjust the angle faster, in increments 60°, and the real-time value of which
is displayed on the right part of the spectrum map.
Operations Click the [Quick Angle] item on the image menu.
There are 3 angles for quickly adjustment: -60°, 0°, and 60°.

5.9 Anatomical M Mode (Free Xros M)

Anatomical M Mode and Color Anatomical M mode images are
CAUTION: provided for reference only, not for confirming a diagnosis. Please
compare the image with that of other machines, or make diagnosis
using none-ultrasound methods.

For an image in the traditional M mode, the M-mark line goes along the beams transmitted
from the probe. Thus it is difficult to obtain a good plane for difficult-to-image patients that
cannot be moved easily. However, in the Anatomical M mode, you can manipulate the M-mark
line to move to any position at desired angles. The system supports anatomical M scanning
(including Free Xros M mode) in 2D imaging modes (B, Color, Power and TVI mode).
 Shortcut key setting
You can preset a user-defined key for entering Free Xros M mode: [Setup] -> [System
Preset] -> [Key Config].
 Free Xros M Imaging Procedures
1. In real-time 2D mode or M mode, adjust the probe and image to obtain the desired plane.
Or select the desired 2D cine files.
2. Click [Free Xros M] on the image menu of the B mode to enter Free Xros M mode, or
press the user-defined key.
3. Adjust the M-mark line to obtain optimized images and necessary information.
 In Dual-split or Quad-split mode, it is the current activated window that enters the Free
Xros M mode.
Free Xros M imaging is supported on frozen B image, B+M image and B+Power/Color/TVI
image.

5.9.1.1 Free Xros M Image Parameters

 Parameters consistent with those in M mode are not to be introduced, please refer to
relevant section of the M mode, while special items of the Free Xros M mode will be
introduced in the following.

Display/Hide the M-mark Line

Description There are 1 M-mark line available.
Display current Press the current green M-mark line.
Impacts The one M-mark line on the screen cannot be hidden.

Switching between the M-mark Lines

Description To switch between the M-mark status in Free Xros M mode.

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Operations Press <Set> to hide or show between the M-mark lines and press <Cursor> to
show the cursor.
The activated M-mark line will be green.

Adjustment of the M-mark Line

Description To adjust the position and angle of the M-mark line.
Operations  Position Adjustment
When the M-mark line is activated, move the trackball left and right to adjust
the position. The direction is recognized by the arrow at the end of the line.
 Angle Adjustment
When the M-mark line is activated, move the trackball to adjust the fulcrum of
the line, and adjust through the [Angle] item on the menu.
The adjusting angle range is 0-360, in increments of 1.

5.9.1.2 Exit Free Xros M

In Free Xros M mode, click [Free Xros M] or press <B> or the user-defined Free Xros M key
to exit Free Xros M mode.

Image Optimization 5-21

5.10 TDI
CAUTION: TDI is provided for reference only, not for confirming a diagnosis.

TDI (Tissue Doppler imaging) mode is intended to provide information of low-velocity and
high-amplitude tissue motion, specifically for cardiac movement.
There are 3 types of TDI mode available:
 Tissue Velocity Imaging (TVI): This imaging mode is used to detect tissue movement
with direction and speed information. Generally the warm color indicates the
movement towards the probe, while the cool color indicates the movement away from
the probe.
 Tissue Energy Imaging (TEI): This imaging mode reflects the status of cardiac
movement by displaying the intensity of tissue, the brighter the color the less the
intensity.
 Tissue Velocity Doppler Imaging(TVD): This imaging mode provides direction and
velocity information of the tissue quantificationally.
 Only probe 35C20EA can be applied for TDI function.

5.10.1 Basic Procedures for TDI Imaging

 Enter TDI
 Click [TDI] on the image menu or press the user-defined key on the control panel in
real-time scanning to enter the modes:
 In B or B+Color mode: to enter TVI Mode.
 In Power mode: to enter TEI Mode.
 In PW mode: to enter TVD Mode.
 Switching among the TDI sub modes
In TDI mode, press <Color> or <PW> or click [Power] to switch between the modes.
 Exit TDI
 Press <TDI> to exit TDI mode and enter general imaging modes.
 Or, press <B> on the control panel to return to B mode.

5.10.2 TDI Image Parameters

 In TDI mode scanning, the image parameter area in the upper right corner of the screen
displays the real-time parameter values as follows:
 TVI/TEI
Parameter F G PRF WF
Meaning Frequency Gain PRF Wall Filter
 TVD
Parameter F G PRF WF SVD SV Angle
Meaning Frequency Gain PRF Wall Filter SV Position SV Size Angle value

5.10.3 TDI Image Optimization

In each TDI mode, parameters that can be adjusted are similar to those in the color flow
modes (Color, PW, and Power); please refer to the relevant sections for details.

5-22 Image Optimization

5.11 iScape
The iScape panoramic imaging feature extends your field of view by piecing together multiple
B images into a single, extended B image. Use this feature, for example, to view a complete
hand or thyroid.
When scanning, you move the probe linearly and acquire a series of B images, the system
pieces these images together into single, extended B image in real time. Besides, the system
supports out-and-back image piecing.
After you obtain the extended image, you can rotate it, move it linearly, magnify it, add
comments or body marks, or perform measurements on the extended image.
You can perform the iScape panoramic imaging feature on B (power) real time images using
all linear, convex, and phased probes.
iScape panoramic imaging constructs an extended image from
CAUTION: individual image frames. The quality of the resulting image is user-
dependent and requires operator skill and additional practice to
become fully proficient. Therefore, the measurement results can be
inaccurate. Exercise caution when you perform measurements in
the iScape mode. Smooth even speed will help produce optimal
image results.
Tips:
 iScape is an optional module, the function is available only if the module has been
installed on the ultrasound system.
 The display of the biopsy guideline is not allowed in iScape mode .

5.11.1 Basic Procedures for iScape Imaging

To perform iScape imaging:
1. Connect an appropriate iScape-compatible probe. Make sure that there is enough
coupling gel along the scan path.
2. Enter iScape:
 Click the [iScape] item on the image menu or press the user-defined key of iScape
on the control panel. (You can preset a user-defined key via [Setup] -> [System
Preset] -> [Key Config].)
3. Optimize the B mode image:
In the acquisition preparation status, click the menu title to enter the B mode image
optimization. Do measurement or add comment/body mark to the image if necessary.
4. Image acquisition:
Click [iScape] menu title to enter the iScape acquisition preparation status. Click [Start
Capture] or press <Update> on the control panel to begin the acquisition. For details,
please refer to “5.11.2 Image Acquisition”.
The system enters into image viewing status when the acquisition is completed. You can
perform operations like parameter adjusting. For details, please refer to “5.11.3 iScape
Viewing”.
5. Exit iScape:
 Press <Freeze> or <Update> to return to capturing status.
 Press <B> button to return to B mode.

Image Optimization 5-23

5.11.2 Image Acquisition
To create an iScape image, you start with an optimized 2D image. The 2D image serves as
the mid-line for the resulting iScape image.
1. Press the <Update> key or click [Start Capture] on the image menu to start the iScape
image capture.
2. Scan slowly to obtain a single extended field of view image; you can also perform erasing
and retracing if the image is not satisfied.
3. End image capture:
To end the image capture:
 Click [Stop Capture] on the image menu; or,
 Press the <Update> key or <Freeze> key; or,
 Wait until the acquisition is finished automatically.
After the acquisition is completed, the panoramic image will be displayed. And the system
enters iScape viewing mode.
Tips:
 During the image acquisition, no parameter is adjustable, and functions like
measurement, comment and body mark are not available.
 ROI: a green box on the image indicating the boundary between the merged images
and the unfinished images.
 Tips about the probe speed: during image slicing, the system gives feedbacks about
the probe moving speed in the form of color and words, the relations are listed as
follows:
Status ROI Color Tips
Speed too low Blue Moving speed of the probe is too low.
Appropriate Green None.
Speed too high Red Moving speed of the probe is too high.
Guidance and precautions for uniform motion:
 Make sure that there is enough coupling gel along the scan path.
 Always move the probe slowly and steadily. Best results are achieved by moving the
probe with 1cm/s - 3cm/s).
 Continuous contact is required throughout the length of the extended image. Don’t lift
the probe from the skin surface.
 Always keep the probe perpendicular to the skin surface. Don’t rock, rotate or tilt the
probe during the scan.
 The system accommodates a reasonable range of motion velocity. Don’t make abrupt
changes in speed of motion.
 Deeper scans generally require reduced acquisition speed.

5.11.3 iScape Viewing

After completing the image acquisition, the system performs image splicing and then enters
the iScape viewing mode.
In iScape viewing mode, you can perform the following functions:

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 Image parameters setting, for details, please refer to “5.11.3.1 Image Parameters ”.
 Image zooming, for details, please refer to “5.11.3.2 Image Zooming”.
 Image rotation, for details, please refer to “5.11.3.3 Rotating the Image”.
 Measurement, comment, and body mark, for details, please refer to “5.11.3.4
Measurement, Comment, and Body Mark”.

5.11.3.1 Image Parameters Adjusting

In image viewing mode, you can adjust the following parameters:
 Image size
Click [Actual Size] to display the image in its actual size.
Click [Fit Size] to display the image in an appropriate size according to the current
window. Also this is the system default format.
 Tint map
Click the [Tint Map] on the menu to adjust it.
 Ruler
Click [Ruler] on the menu to hide or show the ruler around the image.

5.11.3.2 Image Zooming

Press <Depth/Zoom> knob on the control panel to enter image zooming mode. Rotate the
knob to zoom in/out the panoramic image.
 Rotate clockwise to zoom in the image.
 Rotate anticlockwise to zoom out the image.
 Roll the trackball to change position of the magnified image.
 Press the <Depth/Zoom> knob again to exit the zoom mode.
 When image displayed is bigger than the image area, the thumbnail is automatically
displayed.

5.11.3.3 Rotating the Image

For the convenience of viewing the image, you can rotate the image by clicking [Rotation] on
the image menu.

5.11.3.4 Measurement, Comment, and Body Mark

In iScape image viewing status, you can perform measurement, comment, and body mark.
The operations are the same as that of B mode.

NOTE: 1. The measurement accuracy for the spliced image may be degraded, exercise
caution when measurements are performed on an iScape image.
2. If there is a trace during the retracing, please don’t perform measurement
across the trace.

5.11.3.5 Evaluate Image Quality

Many variables may affect the overall image quality. It is important to evaluate the image
content and quality before an image is used for diagnosis or measurements.

NOTE: iScape panoramic imaging is intended for well-trained ultrasound operators or

physicians. The operator must recognize image artifacts that will produce a sub-
optimal or unreliable image.
The following artifacts may produce a sub-optimal image. If the image quality cannot meet the
following criteria, you shall delete the image and do image acquisition again.
 The image must be continuous (no part of an image moves suddenly or disappears.)

Image Optimization 5-25

  No shadow or absent signal along the scan plane.
 Clear profile of anatomy through the entire scan plane without distortion.
 Skin line is continuous.
 The images are captured from the same plane.
 There is no large black area in the image.

5.11.4 Cine Review

Click [Review Cine] on the image menu in panoramic image viewing status to enter cine
reviewing mode. In cine reviewing mode, there is a green frame marker indicating the
sequence of currently reviewed image in the panoramic image on the left side of screen.
In cine review status:
 Roll the trackball to review the captured images frame by frame.
 Click [Auto Play] to start or end auto play.
 In auto play mode, click [Auto Play] on the image menu; or, press/rotate the
corresponding knob to change the play speed.
 Review to a certain image; click [Set First Frame] to set the start point. Review to
another image; click [Set End Frame] to set the end point. In auto play mode, the
review region is confined to the set start point and end point.
 Click [Return] item on the image menu to exit the cine review mode, and there
displays the panoramic image.
 In cine review mode, press <Freeze> on the control panel to return to the acquisition
preparation status.

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5.12 3D/4D
5.12.1 Note before Use
5.12.1.1 Smart 3D Image Quality Conditions
NOTE: In accordance with the ALARA (As Low As Reasonably Achievable) principle,
please try to shorten the sweeping time after a good 3D imaging is obtained.
The quality of images rendered in the Smart 3D mode is closely related to the fetal condition,
angle of a B tangent plane and scanning technique. The following description uses the fetal
face imaging as an example, the other parts imaging are as the same.
 Fetal Condition
(1) Gestational age
Fetuses of 24~30 weeks old are the most appropriate for 3D imaging.
(2) Fetal body posture
Recommended: cephalic face up (figure a) or face aside (figure b);
NOT recommended: cephalic face down (figure c).

a b c

(3) Amniotic fluid(AF) isolation

The region desired is isolated by amniotic fluid adequately.
The region to imaging is not covered by limbs or umbilical cord.
(4) The fetus keeps still. If there is a fetal movement, you need a rescanning when the
fetus is still.
 Angle of a B tangent plane
The optimum tangent plane to the fetal face Smart 3D imaging is the sagittal section of
the face. To ensure high image quality, you’d better scan maximum face area and keep
edge continuity.
 Image quality in B mode (2D image quality)
Before entering Smart 3D capture, optimize the B mode image to assure:
 High contrast between the desired region and the AF surrounded.
 Clear boundary of the desired region.
 Low noise of the AF area.
 Scanning technique
 Stability: body, arm and wrist must move smoothly, otherwise the restructured 3D
image distorts.
 Slowness: move or rotate the probe slowly.
 Evenness: move or rotate the probe at a steady speed or rate.

Image Optimization 5-27

NOTE: 1. A region with qualified image in B mode may not be optimal for Smart 3D
imaging. E.g. adequate AF isolation for one section plane doesn’t mean the
whole desired region is isolated by AF.
2. More practices are needed for a high success rate of qualified Smart 3D
imaging.
3. Even with good fetal condition, to acquire an approving Smart 3D image may
need more than one scanning.

5.12.2 Overview
Ultrasound data based on three-dimensional imaging methods can be used to image any
structure where a view can’t be achieved by standard 2D-mode to improve understanding of
complex structures.
 Terms
 Volume: a three-dimensional content.
 Volume data: the image data set of a 3D object rendered from 2D image sequence.
 3D image (VR): the image displayed to represent the volume data.
 View point: a position for viewing volume data/3D image.
 Section image (or MultiPlaner Rendering as MPR): tangent planes of the 3D image
that obtained by algorithm. As shown in the figure below, XY-paralleled plane is C-
section, XZ-paralleled plane is B-section, and YZ-paralleled plane is A-section. The
probe is moved along the X-axis.
 ROI (Region of Interest): a volume box used to determine the height and width of
scanning volume.
 VOI (Volume of Interest): a volume box used to determine the area of a sectional
plane for 3D imaging.

View point

2 3
1 4 X

6
7
5 8
Z
 ROI and VOI
Before image acquisition after the system enters Smart 3D imaging, a B image with ROI
displays on the screen. A line (shown in the following figure) that shows the upper edge
position of VOI is inside ROI.

5-28 Image Optimization

 B
image

ROI

Cut plane

 ROI size and position

Roll the trackball to change the ROI size and position, press the <Set> key to toggle
between setting the size (dotted line) and position (solid line, with a small box at each
corner of ROI).
 Curved VOI adjustment
Roll the trackball to change the curved VOI position, press <Set> key to switch
among the state of changing ROI and curved VOI.
This function is to change the curved shape of the nearest VOI section, to facilitate
observation for the interested volume data.
It can be adjusted both in acquisition preparation status, and in A, B, C sections of
review, and a triangle of control point on the curved VOI is displayed.
Depending on the view direction, the orientation and the shape (line or dot) of curved
VOI vary:
View Curved VOI
U/D At the upper part of curved VOI
D/U At the lower part of curved VOI
L/R At the left part of curved VOI
R/L At the right part of curved VOI
F/B Displays as a dot
B/F Displays as a dot
 Image parameter adjustment
 Under Smart 3D imaging mode, you cannot use the Multifunctional Knob to adjust as
in other modes.
 You need to: press <Cursor> to show the cursor and roll the trackball to move the
cursor onto the target parameter on the menu, press <Set> key to adjust.
 3D view direction definition
The Region of Interest (ROI), also referred to as the Render Box in rendering, contains
the section of the volume you want to render. Therefore, objects that are not inside of the
box are not included in the render process and are cut out (this is important in surface
mode to allow a free line of sight). This may or might not be the entire VOI.
You can adjust the view direction of the ROI.

Image Optimization 5-29

 a b

c d

e f
View Direction
a. Up/Down b. Down/Up
c. Left/Right d. Right/Left
e. Front/Back f. Back/Front

 Wire cage
When you view a Smart 3D image on the display monitor, it’s sometimes difficult to
recognize the orientation. To help, the system displays a three-dimensional drawing to
illustrate the orientation. Of which, the blue plane presents the image acquisition where
started, while the red plane presents the image acquisition where ended, besides, a
yellow plane in the wire cage presents the position of the sectional plane. See the graphic
below:

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 Wire Cage

The ultrasound images are provided for reference only, not for
CAUTION: confirming a diagnosis. Please use caution to avoid misdiagnosis.

5.12.3 Static 3D
Static 3D provides single frame image acquisition of 3D images. During scanning, the probe
performs the scanning automatically.
The probe D6-2EA supports the static 3D.

5.12.3.1 Basic Procedures for Static 3D Imaging

To perform Static 3D imaging:
1. Select the appropriate probe and exam mode. Make sure there is sufficient gel on the
probe for scanning.
2. Obtain a 2D image.
Make sure there is:
 High contrast between the desired region and the surrounding AF (amniotic fluid).
 Clear boundary of the desired region.
 Low noise of the AF area.
3. Press <3D/4D> to enter Static 3D acquisition preparation mode, and define the ROI as
well as the curved VOI.
To adjust the ROI:
 Under acquisition preparation status: roll the trackball to change the ROI size, ROI
position and curved VOI, press the <Set> key to toggle between setting the ROI size,
ROI position and curved VOI.
 Draw a circle around the interested region, then the system will position the ROI to
cover the region. You can adjust ROI size and position if necessary.

Image Optimization 5-31

 ROI

Draw a circle
here

ROI cover this

area

Cross cursor on
the VOI curve

ROI

For setting the ROI, be sure to:

 Set the ROI on the 2D image with the largest section area of the fetal face.
 Set the ROI a little larger than the fetal head.
NOTE: When defining a ROI, try to eliminate useless data so as to reduce the volume data
and shorten the time for image storing, processing and rendering.
4. Select a render mode and set parameters such as [Angle] and [Image Quality]
accordingly.
5. Press <Update> on the control panel to start the 3D image acquisition.
The system enters 3D image viewing status when the acquisition is completed.
In image viewing status, you can perform VOI setting, image editing and other operations.
6. Exit Static 3D.
Press <B> or <3D/4D> to enter B mode.

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5.12.3.2 Static 3D Acquisition Preparation
Description of parameters:
Type Parameter Description
Function: to set the range for imaging.
Angle
Range: 10-70°.
Parameter Function: to adjust the image quality by changing the line
adjusting density. Image quality can affect the imaging speed: the
Quality better the image quality, the longer the time.
Range: Low2, Low1, Mid, High1, High2
Function: set Surface as the 3D image rendering mode.
This is useful for surface imaging, such as fetus face, hand
Surface or foot.
Tip: you may have to adjust the threshold to obtain a clear
body boundary.
Function: set Max. as the 3D image rendering mode.
Displays the maximum echo intensity in the observation
Max. direction.
This is useful for viewing bony structures.
Function: set Min. as the 3D image rendering mode.
Render Mode Displays the minimum echo intensity in the observation
Min. direction.
This is useful for viewing vessels and hollow structures.
Function: set X-ray as the 3D image rendering mode.
Displays the average value of all gray values in the ROI.
X-ray
X Ray: used for imaging tissues with different internal
structures or tissues with tumors.
Function: iLive brings a better imaging experience by
adding a light rendering effect to the traditional method. It
iLive supports the global lighting mode as well as the partial
scattering mode, allowing human tissue texture to be
revealed more clearly.

5.12.3.3 Static 3D Image Viewing

Enter/Exit Image Viewing
 To enter image viewing:
The system enters image viewing when image acquisition is complete.
 Exit
To return to 3D/4D image acquisition preparation status, press <Update> or <Freeze>.

Activate MPR
Click [VR/MPR] to activate MPR or 3D image (VR).

MPR Viewing
In the actual display, different colors for the window box and the section line are used to
identify the MPR A, B and C.

Image Optimization 5-33

  Window A is blue, and the lines (representing MPR A) displayed in the other two
windows are also blue.
 Window B is yellow, and the lines (representing MPR B) displayed in the other two
windows are also yellow.
 Window C is orange, and the lines (representing MPR C) displayed in the other two
windows are also orange.
The positions of the other two MPRs are indicated in the selected plane. You can roll the
trackball to change the position.

Sectional A Sectional B Sectional C

View Direction
The Region of Interest (ROI), also referred to as the Render Box in rendering, contains the
section of the volume you want to render. Therefore, objects that are not inside the box are
not included in the render process and are cut out (this is important in surface mode to allow a
free line of sight). This may or may not be the entire VOI.
You can adjust the view direction of the ROI.

a b

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 c d

e f
View Direction
a. Up/Down b. Down/Up
c. Left/Right d. Right/Left
e. Front/Back f. Back/Front

Adjust VOI
 VOI On
The VR image displays VOI information.
1. In image viewing status, click [VOI] to turn it to “On.”
2. Roll the trackball to adjust the VOI position, size and curved VOI, and press <Set> to
switch between the adjusting status.Or use [Slice] item to adjust the relative position of
MPRs so as to slice through the VR.
 VOI Off
The VR image displays ROI information.
Click [VOI] to turn it to “Off.” The ROI image is displayed on the screen. Roll the trackball to
observe the MPR.
 Accept VOI
1. This function is usually used for MPR observation and to determine the relative position
of the MPR to the VR.
2. Click [Accept VOI].
3. Select the desired MPR by clicking [A], [B] or [C] or [VR].
4. Roll the trackball to view the current active MPR. The other two MPRs change
correspondingly.Or use [Slice] item to adjust the relative position of MPRs so as to slice
through the VR.
In Accept VOI status, when the VR is active or the MPR which is perpendicular to the view
direction is active, the center point of the VR displays. Adjust the position using the trackball.

Image Optimization 5-35

Image Rendering Parameters
In image viewing status, render the image by adjusting the relevant parameters.
Render setting parameters description:
Click [VR/MPR] on the screen to select VR or MPR parameter adjustments.
 When [VR] is highlighted in green, parameter adjustment is performed on the VR
image.
 When [MPR] is highlighted in green, parameter adjustment is performed on the MPR.
Adjustable parameters are as follows:
Parameter Description
Function: to set the threshold for VR rendering. The VR is rendered using
the signal between the high and low thresholds.
When signals are received, from small to large, they are divided into
different levels assigned within the range of 0-100%. The threshold is a
selected range where the system filters out signals below it and above it
Threshold to render the VR image.
The lower threshold can eliminate lower range noises and echo, which
contributes to a clearer and smoother image.
Range: 0%-100%.
Available in Surface render mode only.
Function: to set the transparency value for VR rendering.
Opacity Range: 0%-100%.
The lower the number, the more transparent the grayscale information.
Function: to set the smoothness of VR.
Selection: 0-20. 0 refers to no smooth effect, 0-20 represent 21 effects in
Smooth incremental order.
Tip: Insufficient smoothness can result in a fuzzy image, while too much
smoothness will lead to image distortion.
Function: to set the brightness of VR.
Brightness Range: 0%-100%. 0% represents the minimum brightness, while 100%
represents the maximum.
Function: to set the contrast of VR.
Contrast
Range: 0%-100%.
Tint Switch tint map on/off. Selection: Off, 1-25.
To quickly rotate the VR.
Quick Rot.
Selection: 0°, 90°, 180°, 270°.
Enhances the B mode image profile for better boundary details.
iClear
Range: Off, 1-4.
Optimize the signal of the face area to reduce the noise of the AF area
and improve the signal-noise ratio of the face area, make the face more
Face+ fullness to easily obtain the image of fetal face.
Range: 0-3.

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 Reset Curve
Parameter Description
Reset Ori To reset the volume rotation, shifting and zooming to its original status.
Reset Curve To reset the curve to its original status.
Reset All To reset the volume to its original orientation and original parameters.
 Render Mode
Parameter Description
Function: set Surface as the VR rendering mode.
This is useful for surface imaging, such as fetus face,
Surface hand or foot.
Tip: you may have to adjust the threshold to obtain a clear
body boundary.
Function: set Max. as the VR rendering mode. Displays
Max. the maximum echo intensity in the observation direction.
This is useful for viewing bony structures.
Function: set Min. as the VR rendering mode. Displays the
Min. minimum echo intensity in the observation direction.
Gray/Inversion This is useful for viewing vessels and hollow structures.
Function: set X-ray as the VR rendering mode. Displays
the average value of all gray values in the ROI.
X-ray
X Ray: used for imaging tissues with different internal
structures or tissues with tumors.
The above four rendering methods can be applied to both gray and
inversion modes.
Where inversion means to invert the grayscale of the image, so as to
enhance observation for low-echo regions, applicable for vessels, cysts,
etc.
When the function is turned on, the rendering mode parameters change
to the corresponding inverse parameters.

Image Optimization 5-37

Rotate an Image
The system supports the following rotation modes:
 Axial rotation
 Auto rotation
 Axial rotation
Axial rotation rotates the currently activated image around the X-, Y- or Z-axis.
 Procedures
a) Select the current image.
b) Rotate the corresponding knobs to make the image rotate:
 To rotate along the X-axis: rotate the <Scale> button on the control panel
clockwise and the image rotates right along the X-axis. Rotate the button
counter-clockwise and the image rotates to the left.
 To rotate along the Y-axis: rotate the <Baseline> button on the control panel
clockwise and the image rotates right along the Y-axis. Rotate the button
counter-clockwise and the image rotates to the left.
 To rotate along the Z-axis: rotate the <PW> button on the control panel clockwise
and the image rotates right along the Z-axis. Rotate the button counter-clockwise
and the image rotates to the left.
 Auto rotation
(1) In 3D viewing mode, Click the [Auto Rot.] tab on the screen. The system enters the
auto rotation preparation state.
(2) Click [Left/Right] or [Up/Down] to set the auto rotation direction.
(3) Set the Start position and End position:
Start position: roll the trackball to view at a certain position. Press the trackball “Set
Start” function key according to the trackball hint area.
End position: roll the trackball to view at a certain position. Press the trackball “Set
End” function key according to the trackball hint area.
(4) Click [Speed] to set the rotation speed.
(5) Click [Step] to set the rotate step.
NOTE: You can view the back of the VR by rotating it 180°. The back view image may not
be as vivid as the front. (Here we call the initial view of the VR the “front”). It is
recommended to re-capture rather than rotate the VR if a certain desired region is
obscured in the VR.

Image Zooming
To adjust the zoom factor of VR. The sectional images will be zoomed in/out accordingly.
 Operation
Set the VR window as the current window.
 Press <Zoom> to increase or decrease the magnification factor.

Comments and Body Marks

 Function:
Add comments and body marks to the MPR and VR.
 Operation:
The operation is the same as adding comments and body marks in B image mode.

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Image Editing
 Function
Image editing is a more elaborate function than VOI adjusting for optimizing the 3D image
by clipping (removing) the obscured part of the region of interest.
Tip:
 In image editing status, no image parameters can be changed. A cutting cursor is
displayed , and the system enters “Accept VOI” status.
 The editing function is available only on VR.
 Procedures
1. Enter image editing status by clicking the [Edit] tab.
2. Select an edit tool:
 Contour
a) Press <Set> to position the start point, and roll the trackball to trace the region.
b) When the start point and end point coincide, the region is selected, or press
<Set> twice to finish tracing.
c) Move the cursor to the region you want to cut and press <Set> again to cut.
 Rectangle
a) Press <Set> to fix the rectangle's position, roll the trackball to change the size,
and press <Set> again to finish drawing the rectangle.
b) Move the cursor to the region you want to cut and press <Set> again to cut.
 To undo the last cutting, Click [Undo] on the screen.
 To undo all cuttings, Click [Undo All].

The image cutting parameters are described as follows:

Type Parameters Description
Allows you to trace the portion of the image you want to cut.
Inside Contour Inside Contour removes all portions of the image that fall
inside your traced region.
Allows you to trace the portion of the image you want to cut.
Outside Contour Outside Contour removes all portions of the image that fall
outside your traced region.
Edit Type
Displays a box you can use to define the portion of the
Inside Rect image you want to cut. Inside Rect removes all portions of
the image that fall inside of the box.
Displays a box you can use to define the portion of the
Outside Rect image you want to cut. Outside Rect removes all portions of
the image that fall outside of the box.

 Section image (MPR) measurement.

2D related measurements can be performed on MPR. For details, see [Advanced Volume].
Measurement is not available in acquisition preparation status.

5.12.3.4 Image Saving and Reviewing in Static 3D

 Image saving
 In 3D viewing mode, press the single image Save key (Save Image to hard drive) to
save the current image to the patient information management system in the set
format and image size.

Image Optimization 5-39

  Save clip: in 3D viewing mode, press the user-defined Save key (Save Clip
(Retrospective) to hard drive) to save a CIN-format clip to the hard drive.
 Image review
Open an image file to enter the image review mode. In this mode, you can perform the
same operations as in VR viewing mode.

5.12.4 Smart 3D
The operator manually moves the probe to change its position/angle when performing the
scan. After scanning, the system carries out image rendering automatically, then displays a
frame of the 3D image.
Smart 3D is an option. All probes for the Ultrasound System support the Smart 3D except for
D6-2EA.

5.12.4.1 Basic Procedures for Smart 3D Imaging

NOTE: In Smart 3D image scanning, if the probe orientation mark is oriented to the
operator’s finger, perform the scan from right to left in linear scan, or rotate the
probe from left to right in rocked scanning. Otherwise, the VR direction will be
wrong.
To perform Smart 3D imaging:
1. Select the appropriate probe (non-4D probe) and exam mode. Make sure there is
sufficient gel on the probe for scanning.
2. Obtain a 2D image. Optimize the image as described in the Static imaging procedure.
3. Press <3D/4D> to enter the Smart 3D imaging preparation status, and define the ROI as
well as the curved VOI.
4. Select a render mode.
5. Select an acquisition method, and set the corresponding parameters on the screen.
Rocked mode: set [Angle] parameter.
Linear mode: set [Distance] parameter.
6. Press <Update> on the control panel to start the 3D image acquisition.
The system enters the 3D image viewing status when the acquisition is complete. Or, end
the acquisition by pressing <Freeze> or <Update> on the control panel.
In image viewing status, operations such as VOI setting and image editing can be performed.
7. Exit Smart 3D.
Press <Update> or <Freeze> to return to Smart 3D image acquisition preparation. Or,
press <B> or <3D/4D> to enter B mode.

5.12.4.2 Smart 3D Acquisition Preparation

In Smart 3D mode, you need to set the scan method in addition to the other items in Static 3D
mode. The other parameters are the same as those for Static 3D.
 Method
Capture images using Linear scan or Rocked scan.
 Linear scanning
Move the probe across the surface. See the following figure.

5-40 Image Optimization

  Rocked scanning
Rotate the probe once from the left to the right side (or from the right to the left) to
include the entire desired region. See the figure.
 Description of parameters:
Parameter Description
Function: select the image acquisition method.
Selection: Rocked, Linear.
Linear mode: during the sweep, the probe must be kept parallel. The scanning
speed should be constant.
Rocked mode: in this mode, the probe must be moved to a position where you
Method can clearly see a middle cut of the object you want to scan and render. Tilt the
probe to about 30 degrees until the object you want to scan disappears. Start
the acquisition and tilt the probe over a distance of around 60 degrees until the
object disappears again. During the sweep, the probe may not be moved
parallel, just tilted.
Tip: the speed is related to scanning distance or angle.
Function: to set the distance the probe covered from one end to the other end
Distance during a linear sweep.
Range: 10-200 mm, in increments of 10 mm.
Function: to set the angle the probe covered during a fan sweep.
Angle
Range: 10-80°, in increments of 2°.

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5.12.4.3 Smart 3D Image Viewing
In VR viewing, the system supports the following functions:
 Render setting.
 B-mode parameter adjustment.
 Setting the display format.
 Viewing MPR.
 Image zooming.
 Rotation.
 Image editing.
 VR parameter adjustment.
 Scanning plane and probe movement
Move the probe across the body surface.
The arrow in the figure below indicates the movement of the probe (you can move the
probe in the opposite direction to the arrow.).

5.12.4.4 Image Saving and Reviewing in Smart 3D

It is similar to the saving and reviewing in3D Static mode.

5.12.5 4D
4D provides continuous, high-volume acquisition of 3D images. During scanning, the probe
performs the scanning automatically.
4D image acquisition operations are similar to those of Static 3D. The only difference is that in
static 3D mode, only a single frame 3D image is captured, while in 4D mode, continuous,
high-volume acquisition of 3D images is provided.
4D imaging is an option. The probe D6-2EA supports the 4D mode.

5.12.5.1 Basic Procedures for 4D Imaging

1. Select the appropriate 4D-compatible probe and exam mode. Make sure there is
sufficient gel on the probe for scanning.
2. Obtain a 2D image as described in the Static 3D imaging procedure.
3. Press <3D/4D> twice to enter 4D imaging preparation status. Define the ROI as well as
the curved VOI. For details, see “5.12.3.1 Basic Procedures for Static 3D Imaging.”
4. Select a render mode, and set parameters.
5. Press <Update> on the control panel to enter the 4D image real-time display status.

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6. Press <Freeze> on the control panel to freeze the image. Perform image cutting, rotation,
annotation and image saving if necessary. For detailed operations, see “5.12.3.3 Static
3D Image Viewing.”
7. Exit 4D.
Press <Update> to return to 4D image acquisition preparation,
or, press <B> to enter B mode.

5.12.5.2 4D Acquisition Preparation

The parameters are the same as those for Static 3D. For details, see “5.12.3.2 Static 3D
Acquisition Preparation.”

5.12.5.3 4D Real-time Display

In 4D real-time display status, operations are similar to those in Static 3D. For details, see the
corresponding section in Static 3D.

5.12.5.4 4D Image Saving

 In 3D viewing mode, press the single image Save Image key to save the current image to
the patient information management system in the set format and image size.
 Save clip: in 3D viewing mode, press the user-defined Save Cine key to save a CIN-
format clip to the hard drive.

5.12.5.5 3D/4D Fast Switching

In 4D real-time imaging mode, press <3D/4D> to quickly switch to VR viewing status, where
you can obtain the same image of a better quality.

5.12.6 iLive
iLive brings you a better imaging experience by adding a light rendering effect to the
traditional method. It supports the global lighting mode as well as the partial scattering mode,
allowing human tissue texture to be revealed more clearly.
iLive is an option, and is available under Smart 3D, Static 3D and 4D modes. To use the iLive
function, you must configure the Smart 3D module or the 4D module.
 To Activate iLive
1. Enter 3D/4D image viewing status, or double-click the saved 3D/4D cine file in the
iStation or Review screen.
2. Select the render mode to be iLive on the screen, and adjust the parameters.
 Imaging using iLive
1. Select the imaging mode:
 Use the ordinary probe and press <3D/4D> to enter Smart 3D.
 Or, use 4D probe and press <3D/4D> twice to enter 4D mode or Static 3D mode.
2. Select the render mode to be iLive on the screen, and set the related parameters (quality
and angle, etc.).
3. Press <Update> to begin acquisition.
4. The system finishes acquisition and enters the image viewing screen.
In image review status, you can perform operations such as VOI setting, image editing,
comment adding, body mark adding, etc.
5. Or press <B> or <3D/4D> to exit the mode.

Image Optimization 5-43

5.12.7 iPage
iPage is a new “Visualization” mode for displaying sectional images. The data is presented as
slices through the data set, which are parallel to each other.
iPage is an option and is not available for Smart 3D images.

5.12.7.1 Basic Procedures for iPage

1. Acquire 3D/4D data.
 Single-frame VR:
4D mode: freeze the system, then roll the trackball to select the image.
Static 3D: an image frame is acquired automatically after the acquisition is completed.
 Multi-frame 3D images: acquire multiple 3D images in 4D imaging mode.
2. Perform operations such as rotation and VOI adjusting to the image to find the region of
interest.
3. Click [iPage] tab on the screen to enter iPage mode.
4. Check the A/B/C sectional planes and select the reference image.
5. Confirm whether the slices displayed are the target planes. If not, re-select the reference
image again.
6. Observe the interested structure through multiple slices.
Select the proper image layout and space according to the size of the target structure.
To view the details or a tiny part of the region of interest, use image zooming.
7. Rotate the 3D image to observe the slices of other orientations. Repeat step 6 if
necessary.
If the target orientation and region cannot be observed even after image rotation and
shifting, click [Reset Ori] to reset the 3D image.
8. Perform operations such as commenting on the region of interest.
9. Save the image as required.

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5.12.7.2 iPage Basic Functions and Operations
11 12
13 14

1
9

7
2
5

6
8

3
10

1
1

<1> A plane <2> B plane (the current <3> C plane

reference image)
<4> Y-axis <5> X-axis <6> Central section line (Current
active section line)
<7> Section line <8> Space between two <9> Image parameter
planes
<10> Wire cage <11> Section plane order <12> Section plane position (to the
number central plane)
<13> Central plane mark <14> Green box on the active image

 Layout
The system supports several types of display layout: 2*2, 3*3, 4*4 and 5*5. Click the
corresponding icon on the screen to select, and the selection [Slice Number] changes
accordingly.
 Reference image
Click [A Plane], [B Plane] or [C Plane] to select the reference image.
 Slice and slice line
 Central slice: the central plane which corresponds to the central slice line is the
central slice, marked with a green “*” in the top-left corner of the image.
 View vertical or horizontal slices.
 Active slice: the central plane which corresponds to the green slice line is the active
slice, marked with a green box. The default active slice is the central slice.
 Slice order number: indicates the order of the slices. The position of the central slice
is “0”, the slices before the central slice are marked with negative integral numbers,
and the slices after the central slice are marked with positive integral numbers.

Image Optimization 5-45

  Slice position (to the central slice): displayed in the top-left corner of each image,
indicating the position of each image (such as -7 mm, -3 mm, 3 mm, 8 mm).
 Coordinate axis: indicated on the three A, B, C reference images. Correspond to the
central slice line, and will move accordingly with the central slice line.
 Slice shifting
Roll the trackball to shift the crossing point of the central axis up/down and left/right. The
slice lines will shift accordingly with the crossing point.
Click [Slice] on the screen to fine-tune slice lines horizontally.
 Slice position
Click [Slice position] to move the active slice line (green) either forward or backward
within the range. The corresponding slice will be highlighted in green.
 Spacing
The value is displayed on the top-left side of the slice. Unit: mm. Adjust the [Spacing]. The
adjusting range is from 0.1 mm to 20 mm.
 Slice numbers
Change slice numbers as necessary via [Slice Number] on the screen.
 Image rotation
Press <Scale>, <Baseline> and <PW> to perform axial rotation or use [Slice] item to
adjust the nearest VOI section (cut plane) position.
For details, see the descriptions in Static 3D.
 Image zooming
Same as Static 3D image zooming.
 Hide/show reference image
Show or hide the reference image.
 Quick switch to single display
Select a particular slice, double-press <Set> to see the slice in full screen, then double-
press<Set> again to return to the original display format.
 Reset Ori.
Click [Reset Ori] to reset the orientation and zoom status of the image.
 Comments & Body Marks
The operations are the same as those in the other modes.
 Measurement
Measurement can be done on any slice when it is in the single format display. Same
operations as what you can do in 3D image viewing mode.

5.12.8 Smart Face

NOTE: Smart Face is only used for obtaining fetal face features, not for confirming a
diagnosis.
This feature allows the system to recognize fetal face automatically and then display the face
in a recommended viewing angle.
4D module and OB package should be installed first.
Smart Face is an option.

Basic Procedures
1. Acquire Static 3D image or frozen 4D single-frame image of fetal face.

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2. Click [SmartFace] to enter the function and the system adjust fetal face angle (fetal head
facing up and face is at the front with [Direct] to be up/down) automatically and remove
the shading obstacle data.

Parameter adjusting
Parameters under Smart Face are similar to those under Static 3D mode.
 FaceContact
Description The higher the value, the more adjacent the VR image is to the fetal
face, and the more obstacles cleared.
The lower the value, the further the VR image is to the fetal face, and
the less obstacles cleared.
Operation Rotate [FaceContact] to adjust the parameter.
The adjusting range is: -15-15 in increment of 1.

 Quick Rot.
Description Rotate the image quickly.
Operation Adjust in VR Orientation: 0°, 90°, 180°, 270°.

Image Optimization 5-47

6 Display & Cine Review

6.1 Image Display

6.1.1 Splitting Display
The system supports dual-split and quad-split display format. However, only one window is
active.
 Dual-split: press <Dual> key on the control panel to enter the dual-split mode, and
using <Dual> key to switch between the two images; press <B> on the control panel
to exit.
 Quad-split: press <Quad> key on the control panel to enter the quad-split mode, and
using the user-defined key to switch between the two images; press <B> on the
control panel to exit.

6.1.2 Image Magnification

NOTE: Zooming an image changes the frame rate which tends to change thermal indices.
The position of the focal zones may also change which may cause the peak
intensity to occur at a different location in the acoustic filed. As a result, the MI may
change.

6.1.2.1 Spot Zoom

Procedures:
1. Enter zoom:
In real-time image scanning, press <Depth/Zoom> knob on the control panel to light the
Zoom indicator.
2. Adjust ROI:
Roll the trackball to change the box size and position, press <Set> to toggle between
setting the size and position. And after sample volume is set, press <Zoom> key again to
enter spot zoom status.
3. Exit:
In spot zooming status, press <Depth/Zoom> again.
Note:
 Spot zooming only can be realized on a scanning image.
 The size and position of sample volume box will be changed along with scanning
depth and area.

6.1.2.2 Pan Zoom

Procedures:
1. Enter Zoom:
Freeze the image, press <Depth/Zoom> knob on the control panel to light the Zoom
indicator. Image-in-image is displayed.
2. Rotate <Depth/Zoom> knob to change the magnification factor among 0.8-10.
3. Exit:

Display & Cine Review 6-1

  Press <Depth/Zoom>.
 Unfreeze the image, the system exit pan zooming status automatically.

6.1.2.3 iZoom (Full-screen Zooming)

Function: to magnify the image in full screen.
According to the region to be zoomed, the system supports two types of full-screen
zooming:
 Zoom in the standard area to full-screen, including image area, parameter area,
image banner, thumbnail area and so on.
 Zoom in the image area only to full-screen.
 Procedures:
1. Set the User-defined key:
(1) Press <Setup> to enter [Setup] -> [System Preset] -> [Key Config].
(2) Select a function-free key in the function list.
(3) Select "iZoom" in the "Other" page.
(4) Click [Save] to complete the setting.
2. Open the image(or the under scanning image), press the user-defined iZoom key once to
zoom in the standard image area; and then press the key again to zoom in the image
area only.
3. Press the user-defined key again to return to normal status.
 The iZoom status supports:
 Measurements, adding comments and body marks.
 Video output, saving image and printing the current area that is zoomed in.
 Exiting the zooming status by pressing <Probe>, <Patient>, <iStation>, <Review> or
<Setup>.

6.1.3 Freeze/ Unfreeze the Image

Press <Freeze> on the control panel to freeze a scanning image. In freeze mode, the probe
stops transmitting acoustic power, and all images as well as the parameters are kept still.
Tip: after freezing an image, the system may enter cine review, measure, comment adding, or
body mark mode, which is dependent upon preset. (Setting path: [Setup]→[System Preset]→
[Image]→"Freeze Config")
Press <Freeze> in freeze mode to unfreeze the image, the system continues image scanning.

6.1.3.1 Imaging Mode Switching When Frozen

Imaging mode switching in freeze mode follows the following principles:
 In splitting display B mode, press <B> to exit splitting display mode and display the
image of the currently activated window in full screen.
 In freeze mode, the system supports imaging mode switching between the sub-
modes (only for the activated window).
 The imaging mode and parameters of an unfrozen image is the same as the
corresponding one that before frozen; but the display format is the same as the one
before unfrozen.

6.1.3.2 Imaging Display Format Switching When Frozen

Image display format switching in freezing mode follows the following principles:

6-2 Display & Cine Review

 Dual/quad splitting display mode (Press <Freeze> key in dual/quad splitting display mode)
 When enters freeze mode, the default activated window is the real-time window
before frozen. Other image windows display the corresponding cine memories, if a
certain cine memory is empty, then no image is displayed.
 Press <Dual> or <Quad> to switch between dual-splitting and quad-splitting modes.
 Press <B> button on the control panel to enter the single display format, which
displays the currently activated window. In single display format, press <Dual> or
<Quad> to switch between dual-splitting and quad-splitting mode.
 Unfrozen: in splitting display status, when you unfreeze the image you can only
unfreeze the image in the activated window, other images still keep frozen. In single-
window display status, the system displays single image after being unfrozen.

6.2 Cine Review

After you press the [Freeze] key, the system allows you to review and edit the images prior to
the image frozen. This function is called as cine review. The magnified images can also be
reviewed after <Freeze> is pressed, and the operating method is the same. You can perform
post process operations, measurements, adding comments and body marks on the images
being reviewed.
The system supports manual review as well as automatic review. The default mode is Manual
Cine, but you can switch between Auto Cine and Manual Cine.

1. Cine Review images can be inadvertently combined in-

CAUTION: between separate patient scans. The cine memory must be
cleared at the end of the current patient and the onset of the
next new patient by selecting the <End Exam> key on the
control panel.
2. Cine files stored in the system’s hard drive shall contain
patient information, to avoid the selection of an incorrect
image file and potential misdiagnosis.

6.2.1 Entering/ Exiting Cine Review

 To enter cine review:
 Enter "[Setup]-> [System]-> [Image Preset]-> “Freeze Config”, to set "Status after
Freeze" to be "Cine". Then the system enters the manual cine review status once
press <Freeze> to freeze the image.
 Open cine files in thumbnail, iStation or Review, the system enters automatic cine
review status.
 To exit cine review:
 Press <Freeze> key again, the system will return to image scanning and exit cine
review.

6.2.2 Cine Review in 2D Mode

2D mode includes B, B+Color, B+Power.
 Manual Cine Review:
After entering the cine review of 2D mode, roll the trackball to review the cine images on
the screen one by one.

Display & Cine Review 6-3

 If you roll the trackball to the left, the review sequence is reversed to the image-storing
sequence, thus the images are displayed in descending order. Whereas, if you roll the
trackball to the right, the review sequence is the same as the image-storing sequence,
thus the images are displayed in ascending order. When you review images until the first
or the last frame, further rolling the trackball will display the last or first frame.
The cine progress bar at the bottom of the screen (as shown in the figure below):

Auto Review Region

Total frames

Start mark Current

frame
Playback mark

End mark

 Auto Review
 Reviewing all
a) In the manual cine review status, click [Auto Play] on the image menu to activate
auto cine review.
b) Reviewing speed: In the auto cine review status, use [Auto Play] item in the
image menu to adjust the review speed.
c) In auto play status, set [Auto Play] item to Stop to exit auto play.
 Setting Region of Auto Review
a) Set start frame: move the playback mark to the desired frame, and click [Set First
Frame] in the image menu to set the frame as start point.
b) Set end frame: move the playback mark to the desired frame, and click [Set End
Frame] in the image menu to set the frame as end point.
c) Click [Auto Play] in the image menu; the system plays the auto review region
automatically.
d) Rotate the knob on the left of the control panel to increase/decrease the auto
play speed.
e) In the auto cine review, setting [Auto Play] to Stop or rolling the trackball will stop
the auto cine review and enter the manual cine review.
f) Click [Skip to First]/ [Skip to Last] to review the first or last frame.
Tips: you can perform cine review on each image window in the dual/ quad splitting
mode, and set auto review region for each window.

6.2.3 Cine Review in M/ PW /TVD Mode

Enter cine review in M/ PW/ TVD mode, and roll the trackball, the cine images are displayed
on the screen one by one.
Roll the trackball to the left, the review progress slider moves to the left, the images moves to the
right, and the earlier stored images are invoked. Whereas roll the trackball to the right, the review
progress slider moves to the right, and the images move to the left, the recently stored images are
invoked. When you review the images until the earliest or the latest frame, further rolling the
trackball will display the last or first frame.
The cine progress bar at the bottom of the screen (as shown in the figure below):

6-4 Display & Cine Review

 Auto Review Region Time played
Total time

Start mark
Playback mark

End mark

Cine review operations are the same as those of 2D mode.

Tips: There is no audio when the spectrum is reviewed in manual status but audio
synchronization can be realized in auto review status with speed of ×1.

6.2.4 Linked Cine Review

The linked cine review refers to review of the images captured at the same moment.
 Dual live mode(B+C)
 B+M
 B/B Dual liveDuplex mode
 Triplex mode

Frame synchronization mark

Playback progress bar

The frame mark on the time mark of M/PW/TDI image indicates the corresponding 2D
image. In the statuses rather than the dual live, you can only review images in the currently active
window.

6.3 Image Compare

6.3.1 Image Compare in Review Mode
1. Press <Review> to enter Review screen, press <Ctrl>+<Set> to select files to be
compared.
Tip: for B/ B+Color/ B+Power mode image, you can select at most 4 images; for PW/M
mode image, you can select at most 2 images.
2. Click [Compare] to enter image compare mode.
3. Review the images of different image windows (cine replaying can’t be performed for
single-frame image file), press <Dual> or <Quad> key to switch the active image window.
The window with the highlighted “M” mark is the current activated window.

Display & Cine Review 6-5

 Press <Cursor> and double click the image in the thumbnail area at the bottom of the
screen to change the current active window
4. Save the image if it is necessary.
5. Click [Return] on the screen or press <Freeze> to exit image compare.
Image compare of different exams for the same patient:
a) Select different exams in iStation screen, select [Review] in the popped up menu
to enter Review screen.
b) In Review screen, click [History] to select the exam; click to select the image to
be compared in different exams, and click [Image Compare].

6.3.2 Frame Compare

1. Freeze the image in B/C mode, click [Frame Compare] in “Cine” page on the image menu
to enter frame compare mode.
2. Review the images of different image windows (cine replaying can’t be performed for
single-frame image file), press <Update> or the user-defined <Dual> key to switch the
active image window.
3. Save the image if it is necessary.
Measurements, adding comments and body marks are allowed.
4. Click [Frame Compare] again to return to image frozen status; press <Freeze> to enter
real-time imaging.
Tips: cine compare can only be performed on single-format 2D images only.

6.4 Cine Memory

6.4.1 Cine Memory Setting
There are 2 ways of cine memory split: auto and split.
Setting path: select "Auto" or "Split" for cine memory in [Preset]→ [System Preset]→ [Image].
Where,
 "Auto" for the cine memory indicates the system splits the cine memory as per the
number of B image windows.
 “Split” indicates the system always splits the cine memory, even if in the single-B
window, the system splits the cine memory into two as well. You can press <B> key
to switch and display the images in either memory, so you can compare images in
Split mode.
The memory capacity is evenly distributed as per splitting number, as shown in the following
table (Taking B images in low density as an example, the capacity of B cine memory is N
frames):
Imaging
Mode Single-B/ Color Dual Quad
Split
The memory splits The memory splits
One memory, with into two, with into four, with
Auto
capacity N frames. capacity N/2 frames capacity N/4 frames
each each

6-6 Display & Cine Review

 Imaging
Mode Single-B/ Color Dual Quad
Split
The memory splits The memory splits The memory splits
into two, with into two, with into four, with
Split
capacity N/2 capacity N/2 frames capacity N/4 frames
frames each each each

6.4.2 Cine Memory Clear

In the following conditions, the cine review memory will be cleared:
 Start an exam of a new patient.
 Start a new exam for the same patient.
 Switching the probe (if the cine memory is split, only the cine memory corresponding
to the currently activated window is cleared)
 Changing the exam condition (if the cine memory is split, only the cine memory
corresponding to the currently activated window is cleared)
 Imaging Mode Switching: include imaging mode switching among B, M, color, PW,
display mode switching etc.
 Parameters modification, including:
 Parameters that can result in imaging region or direction changing, such as
depth, FOV, trapezoid, steer, zoom and so on.
 Parameters that can result in image frame changing, such as line density, focus
number and so on.
 Change the scanning speed
 2D image cleared
 Unfreeze the image: after the image is unfrozen, images stored in the cine memory
will be cleared, but if the cine memory is split, only the currently cine memory
corresponding to the activated window will be cleared.
 Open/ close the image file that occupies cine memory.

6.5 Preset
Open [Setup] →[System Preset]→[General] to preset the cine storage length.

Clip length: 1~60s.

Display & Cine Review 6-7

7 Measurement
There are general measurement and application measurement. You can perform
measurements on a zoomed image, cine reviewing image, real-time image, or a frozen image.
For measurements details, please refer to the [Advanced Volume].
Be sure to measure areas of interest from the most optimal
WARNING: image plane to avoid misdiagnosis from inaccurate
measurement values.

1. If an image is unfrozen or the mode is changed during a

CAUTION: measurement, the calipers and measurement data will be
cleared from the screen. The general measurement data will
be lost (the application measurement data are stored in the
report).
2. If the system is turned off or <End Exam> is pressed during
a measurement, the data not saved will be lost.
3. In Dual-B imaging mode, the measurement results of the
merged image may be inaccurate. Therefore, the results are
provided for reference only, not for confirming a diagnosis.

7.1 Basic Operations

 Entering/Exiting Measurement
Enter: on the control panel, press the <Caliper> to enter general measurement; press
<Measure> key to enter application measurement.
Press <Caliper> or <Measure> key again to exit.
 Measurement result and help information
The system displays and updates measurement results in the result window.
The help information concerning measurement and calculation is displayed in the Help
Information area at the bottom of the screen.

7.2 General Measurements

7.2.1 2D General Measurements
2D general measurements refer to general measurements on 2D mode:
Measurement Tools Function
Distance Measures the distance between two points of interest.
The distance between probe surface and the probing point along
Depth
ultrasound beam.
Angle The angle between two intersected planes.
Area Measures the area and perimeter of a closed region.

Measurement 7-1
Measurement Tools Function
Volume The volume of a target.
The length of two line segments, which are perpendicular to each
Cross Line
other.
Parallel Line The distance between each pair of parallel lines in a sequence.
Trace Length(Trace) Measures the length of a curve on the image.
Trace Len (Spline) Measures the length of a curve on the image.
Measures the length of two line segments, which are perpendicular to
Double Dist
each other.
Measures the lengths of any two line segments and the calculated
Distance Ratio
ratio.
Area Ratio The areas of any two regions and the calculated ratio.
The grayscale distribution of ultrasonic echo signals in a closed
B histogram
region.
B profile The grayscale distribution of ultrasonic echo signals across a line.
Color Velocity Color flow velocity (only valid for Color mode).
Volume Flow Blood flow through some vascular cross section per unit time.
Measures the distance between LI (Lumen-Intima) and MA (Media-
Adventia)
IMT
NOTE: The IMT function is unavailable on the product not configured
with IMT.

7.2.2 M General Measurements

M general measurements refer to general measurements on M mode. The measurements
listed below can be performed:
Measurement
Function
Tools
Distance The vertical distance between two points.
Time The time interval between any two points.
Measures the distance and time between two points and calculates the
Slope
slope.
Measures the time of n (n≤8) cardiac cycles and calculates the heart rate in
HR
M mode image.
Calculates the average velocity by measuring the distance and time
Velocity
between two points.

7-2 Measurement
7.2.3 Doppler General Measurements
Doppler general measurements refer to general measurements on PW-mode images. The
measurements listed below can be performed:
Measurement
Tools Function

Time The time interval between any two points.

N intervals (n≤8) are measured to calculate a PW mode derived HR
HR
value in Beats Per Minute (BPM).
On the Doppler mode image, velocity and PG (pressure gradient) of a
D Velocity
point on the Doppler spectrum waveform are measured.
Velocity and time interval between two points are measured to calculate
Acceleration
speed difference and acceleration.
On the PW mode image, one or several Doppler waveforms are traced
D Trace
to obtain speed and PG, etc.
Velocity and PG between two peaks on the Doppler spectrum to
PS/ED
calculate RI (resistance index) and PS/ED (peak systolic/end diastolic).
Volume Flow Blood flow through some vascular cross section per unit time.

7.3 Application Measurement

The system support following measurement types:
 Abdomen measurements - Used for measurements of abdominal organs (liver, gall
bladder, pancreas and kidney, etc.) and large abdominal vessels.
 OB measurements- Used for measurements of fetal growth indexed (including EFW) as
well as GA and EDD calculations. The fetus can be evaluated through growth graph
analysis and fetal biophysical profile.
 Cardiac measurements- Used for left ventricle function measurements and measurements
of main artery and vein parameters, etc.
 Gynecology measurements - Used for the uterus, ovary and follicles, etc.
 Small Part measurements – Used for small parts such as thyroid.
 Urology measurements - Used for prostate, seminal vesicle, renal, adrenal, micturated
and testicle volume.
 Vascular measurements – Used for carotid, cerebral, upper and lower extremities vessels,
etc.
 Pediatric measurements - Used for hip joint measurement.
 Nerve measurements – Used for nerve structure measurements.
 Emergency measurements - Used for emergency abdomen, obstetric, superficial etc.

Measurement 7-3
7.4 Measurement Accuracy
Table 1 Error of 2D Images
Parameter Value Range Error
Distance Full screen Within ±4%
Area Full screen Within ±8%
Circumference / Within ±20%
Angle Full screen Within ±3%.
Linear and convex-wide probe: within ±10%
Distance (iScape) Full screen
Micr-convex probe: within ±15%
Table 2 Volume Measurements
Parameter Value Range Error
Volume Full screen Within ±12%.
Table 3 Time/Motion Measurements
Parameter Value Range Error
Distance Full screen Within ±4%
Time Timeline Display Within ±2%.
Heart rate Timeline Display Within ±5%.
PW velocity 10cm/s~200cm/s ≤10% (correction angle ≤60º)

NOTE: Within the selected field range, the measurement accuracy is ensured within the
range mentioned above. The accuracy specifications are performance in the worst
conditions, or based on the real test for the system, regardless of acoustic speed
error.

7-4 Measurement
8 Comments and Body Marks

8.1 Comments
Comments can be added to an ultrasound image to bring attention, notate or communicate
information observed during the examination. You can add comments to: zoomed image, cine
review image, real-time image, frozen image. You can type the character as comments; insert
the pre-defined comments from the comment library; or insert arrow markers.
You must ensure that the entered comments are correct.
WARNING: Incorrect comments may cause misdiagnosis!

8.1.1 Comment Basic Procedures

1. To enter comment status:
 Press the [Comment] key to enter the comment status, and the cursor becomes “|”.
 Press any alphanumeric key, and the corresponding letter or numeral is displayed
besides the cursor.
 Press the <Arrow> key to enter the arrow-adding status.
Tips: when the system entered comment status, the default characters entered are uppercase.
You can see the <Caps Lock> indicator lights on.
2. Place the cursor to the desired place to set the comment location. Add new comment to
the image according to actual situation. Here, you can modify, move, delete, hide or
display the completed comments.
3. To exit comment status:
 In the comment status, press <Comment> key.
 Or press <Esc> or other operating mode keys, such as [Caliper], [Measure] etc.
 In the arrow-adding status, press the <Arrow> key.

8.1.2 Comment Menu

You can adjust relevant settings in comment status via menu.
 Home of comments
Assign the user-defined key for the set home function in “[Setup] → [System Preset] →
[Key Config]”.
Move the cursor to the desired location for a comment and press the Set-Home user-
defined key. The current position of the cursor is set to be the default position of the
comment adding. When pressing Home user-defined key, the cursor will turn to the
default setting position.
 Change Font Size/Arrow Size
 Click [Font Size] to change the font size of comment.
 Click [Arrow Size] to change the arrow size of comment.
The default is the comment text library in the current exam mode. When entered the comment
status, the system displays the customized comment text library for the current exam. If there
is no customized comment text library for the current exam, it will display the comment text
libraries of all the exam modes assigned for the current probe. And if no text library for all the
exam modes is customized, no comment text will be displayed.

Comments and Body Marks 8-1

 ABC Display
Click [ABC Display] to display or hide the added comments. Assign the user-defined key
for the function in “[Setup]-> [System Preset]->“Key Config” ”.
 Set comment language
Click [English] to turn on or off the English comments. If “English” is turned on, the
comments will display in English; if turn off, the comments will display in the language you
set.
If the current language is English, this selection is not available.
 Custom
Click [Custom] to display the dialog box containing all comments in current menu, you
can edit the comment.

8.1.3 Adding Comments

The system can be configured with comment text libraries including Abdomen, Cardiology,
GYN(Gynecology), OB(Obstetrics), Urology, SMP(Small Part), Vascular, PED(Pediatric) and
Nerve Blocks.
 Typing comment characters
1. To set the comment location:
Roll the trackball or press direction-control keys on the keyboard to move the cursor to
the desired location for comments.
2. To type the alphanumeric characters:
 Type the alphanumeric characters through the qwerty (The default characters are
uppercase);
 To type the upper characters, press [Shift] and the character key at the same time.
3. Move to a new line:
In the edit status (the characters are in green color), press <Enter> to move the cursor to
the new line, and the location of the cursor is aligned with that of the first line.
4. In the edit status, move the trackball or press the multifunctional knob to confirm the
character added, and the color of the character added turns yellow.
 Adding a Comment Text
Move the cursor onto the desired comment text in the menu and press <Set> or the
multifunctional knob, and then the system adds the selected comment text on the set
location. The added comment text is in the edit status, so you can edit the comment
text added.
 Add combined comment: Rotate the knob to view the comments one by one; press
the knob again to add the selected item onto the image(comment added in an
editable state); rotate the multifunctional knob to search for the next part, and press
the knob again to add the second part of the combined comment. Repeat procedures
to add other parts of a combined comment. Press <Set> to complete the comment.
 Adding an Arrow
You can add an arrow to a location where you want to pay attention.
1. Press the <Arrow> key, and an arrow will appear at the default position.
2. Adjust the arrow
 Adjust the position and orientation of the arrow: roll the trackball to the desired
position and use the multifunctional knob to change the orientation in 15°increments.
 Click [Arrow Size] on the menu to change the arrow size:
3. Press <Set> or <Enter> to anchor the arrow position, and then the arrow turns yellow.
4. Repeat the above steps to add more arrows.

8-2 Comments and Body Marks

 5. Press <Arrow> key, <ESC> or to exit the arrow comment status.

8.1.4 Moving Comments

1. Move the cursor onto the comment that needs to be moved. Press <Set> to select it,
where a highlighted box appears around the comment.
2. Roll the trackball to move the comment to the new position.
3. Press the <Set> key to anchor the comment in the new position, and the comment-
moving operation is complete.

8.1.5 Editing Comments

 Modifying (Editing) characters
1. Move the cursor onto the comment that needs to be modified.
 Directly enter the character at the position that the cursor stays; or,

 Double press the <Set> key to enter the edit status, use the or key to
move the cursor to a location where needs to insert characters, and type characters.
2. Press the <Del> key to delete the comment character or text on the right side of the
cursor; Press the <Backspace> key to delete the comment character or text on the
left side of the cursor.
3. Roll the trackball or press the <Set> key or the multifunctional knob to confirm the
modification and to exit the edit status, and the color of the comments turns yellow.
 Modifying (Editing) Arrows

1. Move the cursor on the arrow that needs to be modified. After the cursor turns to ,
press the <Set> key. The color of the current arrow turns green, and there is green
frame around the arrow, indicating the arrow can be edited. Move the cursor to
change the arrow position.
2. Rotate the multifunctional knob to modify the arrow direction.
3. Press the <Set> or <Enter> key to complete the modifying operation.

8.1.6 Deleting Comments

 Deleting Comment Characters, Texts or Arrows
1. Move the cursor to the comment to be deleted.
2. Press the <Set> key to select the comment.
3. Press the <Del> or <Clear> key to complete the deleting operation.
 Deleting a recently-added character, text or arrow
After you add several comments and the cursor is in the “|” or “ ” status, pressing
<Clear> can delete the recently-added or recently-edited comment.
 Erase All Text
Long press the <Clear> to delete all the comments.
NOTE: 1. When no object is selected, pressing the <Clear> key will clear all
comments and all measurements calipers.
2. After powering off, the system will clear all comments on the image.

Comments and Body Marks 8-3

8.2 Body Mark
The Body Mark (Pictogram) feature is used for indicating the exam position of the patient and
transducer position and orientation.
The system supports body marks for Abdomen, Cardiology, GYN, OB, Urology, Small Part,
Emergency, Nerve, Orthopedics and Vascular applications. In addition, the system supports
user-defined body marks, and body marks can be imported.

8.2.1 Body Mark Operation Procedures

To add the first body mark:
1. Press <Body Mark> to enter the body mark status.
2. Select the body mark, adjust the position and direction of the probe icon.
3. Exit body mark mode:
 Press the <Set> key to confirm the position and orientation of the probe marker and
exit the body mark mode.
 Press [Body Mark] again on the control panel.
 Press the [Esc] key to confirm the current operation and exit the body mark status.

8.2.2 Menu
In the body mark menu. You can:
 Select Bodymark library
Press the [update] key to select the desired library.
 Custom
Click [Custom] to load the body mark pictures.
You can import a user-defined body mark of PNG and BMP (24/ 32/ 256 bit) image of
75*75 pixels.

8.2.3 Adding Body Marks

 To add the first body mark:
(1) Enter body mark mode:
(2) Select the bodymark library through the menu title.
(3) Select the bodymark.
Move the cursor onto the desired bodymark to highlight your choice, and press <Set>
to add the selected bodymark; or rotate the multifunctional knob to view the
bodymarks.
(4) Press <Set> to confirm the selection.
(5) To adjust the probe position and orientation marker:
 Roll the trackball to place the probe marker at the correct position.
 Rotate the multifunctional knob to adjust the orientation.
 Press the <Set> key to confirm the position and orientation of the probe marker and
exit the body mark mode.

8.2.4 Moving Body Marks

You can move the body mark graphic to any desired position within the image area.
1. Roll the trackball to move the cursor onto the body mark. The cursor changes into ,
indicating you can move the pictogram to a new position.

8-4 Comments and Body Marks

2. Press <Set> key to select the body mark, and a frame will appear around the graphics.
3. Roll the trackball to move the Body Mark graphic to the desired position.
4. Press <Set> to anchor and confirm the new graphics position.
NOTE: In Dual B Mode, a body mark cannot be moved between the separated image
windows.

8.2.5 Deleting Body Marks

 To delete a body mark
1. Use the trackball to position the cursor on the body mark graphic and Press <Set> to
select.
2. Press <Clear> to delete the selected body mark.

NOTE: In the Body Mark mode, if no object is selected, pressing the [Clear] key will
clear all comments, body marks and general measurements from the screen.
Tips:
 Powering off, preset returning, switching the exam/ patient/ mode/ probe will clear the
body marks.

Comments and Body Marks 8-5

9 Patient Data Management
An exam record consists of all information and data of one exam.
An exam record consists of the following information:
 Patient basic information and exam data
 Image files
 Report
NOTE: 1. DO NOT use the internal hard drive for long-term image storage. Daily
backup is recommended. External storage media is recommended for
image archive.
2. The system patient database space is limited, please back up or clear
patient data in time.
3. Mindray is not responsible for lost data if you DO NOT follow suggested
backup procedures.

9.1 Patient Information Management

9.1.1 Enter Patient Information
The general patient information and exam information are entered through the Patient Info
screen, for details, please refer to “4.2 Patient ”.
After completion of patient information entry, click [OK] to save the patient information to the
patient data.

9.2 Image File Management

You can store the image files either in the patient database in the system, or to external
memory devices. For a save image, you can perform operations like image reviewing,
analyzing and demonstration (iVision).

9.2.1 Storage Media

System supported memory media including:
 System hard disk
 USB memory devices: USB flash drive, removable USB hard disk
 DVD±RW, CD-R/W

9.2.2 Image File Formats

The system supports two types of image file formats: system-relevant and PC-compatible.
 System-relevant formats:
 Single-frame image file (FRM)
Refers to single-frame static image files not to be compressed; you can perform
measurements and comments adding on this type of files.
 Cine file (CIN)

Patient Data Management 9-1

 System-defined multi-frame file format; you can perform manual or auto cine review,
and perform measurements or add comments for the reviewed images. After you
open a stored CIN file, the system automatically enters cine review status.
The system can save FRM files as BMP, JPG, TIFF or DCM files, or save CIN files as AVI,
DCM files. The system can also open FRM, JPG, BMP and CIN files.
 PC-compatible formats:
 Screen file (BMP)
Single-frame file format, used to save the current screen, non-compressed format;
 Screen file (JPG)
Single-frame file format, used to save the current screen in the compressed format;
you can set the compression ratio.
 TIFF: Single-frame export format
 Multi-medium files (AVI)
Multi-frame file format, general cine file format.
 DICOM files (DCM)
DICOM standard files format, single-frame or multi-frame format, used to record
patient information and images.

9.2.3 Image Storage Preset

 Set image size
You can set the image size via [Setup] →[System Preset]→ [General]. The items are
shown as follows:

 Set single frame export format

 Format
You can select the image export format in the Send To dialogue box.
NOTE: Compression in a JPEG format may result in image distortion.
 Set cine saving length
For details, please refer to “6.5 Preset”.

9.2.4 Saving Images to the System

 To save a single-frame image in the system:
(1) Enter [Setup]-> [System Preset] -> [Key Config]-> [Output], set a user-defined key for
function “Save image to hard drive”.
(2) Press the user-defined key to save the image.
 In the image screen, press the shortcut key to save the current single-frame image
with the image frozen, and the image is saved with the default file name in the default
file directory in the FRM format. The thumbnail of this image will appear in the
thumbnail area on the right side of the screen. When you move the cursor onto the
thumbnail, its filename with suffix will be displayed.
 When a dialog box is displayed on the current screen, press the user-defined key to
save the screen in the BMP format.

9-2 Patient Data Management

 To save cineloop image in the system:
(1) Enter [Setup]-> [System Preset] -> [Key Config]-> [Output], set a user-defined key for
function “Save cine”.
(2) Freeze an image. Click the user-defined key to save the current image file in the
default file directory in the dynamic image format .CIN.
The thumbnail of this image will appear in the thumbnail area on the lower side of the
screen. When you move the cursor onto the thumbnail, its file name with suffix will be
displayed.

9.2.5 Quickly Saving Images to USB Flash Drive

Use user-defined keys to quickly save the single-frame or cine to USB flash drive.
The image file is stored in the directory: U disk\ US Export\ patient folder\ exam folder\ Image
ID.bmp, here,
 Patient folder name: patient name+ patient ID
 Exam folder name: exam mode+ exam time
 To store single-frame image to USB flash drive:
(1) Set the user-defined key through the path: [Setup]→ [System Preset]→ [Key Config].
Select a key in the Key Function page on the left side and select “Send image to USB
disk” in the Output page of Function field on the right side.
(2) Save the Preset and return to the main screen.
(3) Press the user-defined key to save the image to the USB flash drive.
 To store cine to USB flash drive
Save cine images to a USB flash drive in the AVI format.
(1) Set the user-defined key through the path: [Setup]→ [System Preset]→ [Key Config].
Select a key in the Key Function page on the left side and select “Send AVI Cine to
USB disk” in the Output page of Function field on the right side.
(2) Save the Preset and return to the main screen, scan and freeze an image.
(3) Press the user-defined key to save the cineloop.

9.2.6 Quickly Saving Full Screen Image to the System

This function can save the current full screen image to the system with the image in real-time
status.
1. Set the user-defined key through the path: [Setup](by pressing <Setup>)→ [System
Preset]→ [Key Config]. Select a key in the Key Function page on the left side and select
“Save Screen” in the Output page of Function field on the right side.
2. After the setting, you can use the user-defined key to save full screen image to the
system.

9.2.7 Thumbnails
The stored images or cineloops are displayed in the form of thumbnails on the screen:
 In the iStation screen, the thumbnails refer to the images stored for the selected
exam or the selected patient.
 In the scanning or freeze mode, the thumbnails refer to the images stored in the
current exam.
 In the Review screen, the thumbnails refer to the images stored in the same exam.
 In the Review screen, open an image to enter the image analyzing status, all the
thumbnails belong to the exam are displayed.
 When you move the cursor onto a thumbnail, its name and format will be displayed.

Patient Data Management 9-3

9.2.8 Image Review and Analysis
You can review and analyze the stored images (only refer to the images stored in the system
default path).

9.2.8.1 To review images

You can review all images stored in an exam, and send, delete or analyze the stored images.
 To enter Review:
 Press <Review> to enter Review screen. The system display the images stored in
this exam of the current patient.

 Select an exam of a patient in the iStation screen, and click to enter the Review
screen to review the images of the patient. You can also select more than one exam,
and the system will display images of the lately exam images in Review status.
The Review screen is shown as follows:

 To exit Review:
 Click [Exit] on the Review screen; or,
 Press <ESC> or <Review> again.
 Basic operations
Move the cursor onto an exam item in the Exam History area and press <Set>. The
selected item is highlighted. Click [Info] or [Report] to view patient information or report.
Double-click a thumbnail to view and analyze an image. Rotating the Multifunctional knob
will navigate through thumbnails.
The function buttons are described as follows:
 Exam History:
You can select one certain exam from the exam directory to review the images.

9-4 Patient Data Management

  If entered from iStation, the screen displays the record(s) selected in the iStation.
If no patient is selected when it was in iStation, then all the patients in the system
database will be displayed, and the current patient exam is listed.
 If entered from the imaging status, the Review screen displays the images of the
current exam, and the default selected image is the one displayed on the
preview main screen.
 Info:
Click to enter the Patient Info screen, you can review or edit the currently-selected
patient information.
 Report
Click to review or edit the currently-selected patient report.
 Image operations
[Select All]: click to select all images in the thumbnail window.
[Deselect All]: after clicking the [Select All], the button changes into [Deselect All], you
can cancel all the selections by clicking [Deselect All].
[Send To]: click to send the selected image to other location, DICOM server, printer
and etc. Or, select the image and click the Send To Arrow.
[Delete]: click to delete the selected image. Or, select the image and click the Delete
icon.
 Thumbnail Size
Small: 4x4
Middle: 2x2
Full: 1x1
 Switching operations:
[New Exam]: click to create a new exam for the selected patient and open the Patient
Info screen.
[Activate Exam]: click to activate the ended exam and enter the image scanning
screen.
[iStation]: click to enter the iStation screen.
[Exit]: click to exit the Review status, and return to the main screen.

9.2.8.2 To analyze images

For the image analysis, you can view, zoom, perform post processing and measurements,
add comments and perform cine (multi-frame) review for a stored image. The operation steps
are the same as those for real-time scanning; please refer to relevant sections for details.
 To enter image analysis:
 In the image scanning or freeze status, double-click a thumbnail stored in this exam
to enter the image analysis status; or
 Double-click the selected thumbnail to open the image.
 To exit the image analysis:
 Press <Freeze> or click [Exit] to exit and enter the real-time scanning status.
 Press <Review> to exit from the image analysis to the Review status.
In image analysis status, the selected image is open on the screen, and the thumbnails of
the same exam are displayed on the Thumbnail area, you can turn the pages, delete or
send a selected image.

Patient Data Management 9-5

9.2.9 iVision
iVision function is used for demonstration of the images stored. Image files are played
according to file names one by one (including the image of system-relevant and PC-
compatible format).
To perform image demonstration:
1. Enter iVision screen:
Press the user-defined key for iVision on the control panel (setting path: [Setup]→
[System Preset]→[Key Config]).
2. Add the contents to be played and select the demo mode.
3. Select an item in the list, and click [Start] to begin the demonstration.
4. Press <ESC> to exit the iVision status.
The iVision screen is shown as follows:

 Demonstration item
The demonstration items are the image files in the formats that the system supports. You
can add the exam data in patient database or system supported image files and folders to
demonstration list. For files and folders in demonstration list, the images in the directory
and subdirectory are played one by one, and the system will automatically jump over the
files that can’t be opened.
 Demonstration item
There are two kinds of catalogs: Demo Catalog and Customize Catalog.
 Demo Catalog: demo catalog is the folder in hard disk(E disc), where the factory
DEMO is stored. The system plays the images in this folder when performs
demonstration.
The system supports import, delete or clear the data in demo catalog.
Click [Demo Manager] to operate:
[>]: to import data to demo catalog.

9-6 Patient Data Management

 [<]: to delete the selected data.
[<<]: to delete all data.
 Customize Catalog: what saved here is the catalog of the displayed image. The
system plays the images in the catalog when performs demonstration.
Operate the catalog by the buttons on the right:
[Add File]: to add files to the file list.
[Add Catalog]: to add catalog to the file list.
[Delete]: to delete the selected file or catalog in the file list.
[Clear]: to clear all the files or catalogs in the file list.
 Demonstration mode
Interval: refer to the interval time for demonstration, the adjusting range is 1~500s.
 Option of Demo
You can choose whether to repeat the demonstration or exit after a demonstration is
completed.

9.2.10 Sending Image File

 On the image screen, select a stored image thumbnail, click the Send To Arrow on the
right corner of the image, the image can be sent to the external device, DVD recorder,
DICOM storage server, DICOM print server, system connected printer and etc.
 In the iStation screen, click the Send To Arrow; or, in Review screen, click [Send To] to
send the selected image to the external devices.
 For external memory devices (e.g. USB memory devices, and DVD or iStorage):
a) PC format transfer: JPG/ AVI, BMP/ AVI, TIFF/ AVI. Where a single-frame image
is exported as JPG, TIFF or BMP, and the cine file exported as AVI.
b) DCM format transfer: DCM( including single-frame DCM and multi-frame DCM).
c) You can also select the format to export report.
 For DICOM Storage or Print server, select the DICOM Storage or Print server.
 For a video printer, send images to the video printer connected with the system. For
a graph/ text printer, send the images to the default graph/ text printer.
 On the main screen, press the user-defined iStorage key to save the image as well as
sending it to the iStorage service. See section “11.1.6 Key Config” for how to preset a
user-defined key.

9.3 Report Management

 Report storage:
The exam reports are stored under the directory of the exam of the patient.
 Importing, exporting and sending a report

In the iStation screen, select patient data, click (Restore) or (Backup) to import or
export patient information, images and reports from or to an external memory device. See
the following figure:

Patient Data Management 9-7

 In the iStation screen, click [Send Exam]; or, in Review screen, click [Send To] to send
patient data to an external memory device, you can choose if reports are exported with
images. See the figure below.

To export the report:

(1) Check “Export Report” on the screen.
(2) Click [OK] to confirm.
You can select paper size for the report in the path: [Setup] → [Print Preset]
 Printing report
Use a connected graph/text printer to print a report. Please refer to “11.6 Print Preset” for
details about default report printer setting.
For details on report relevant operations, please refer to [Advanced Volume].

9-8 Patient Data Management

9.4 Patient Data Management (iStation)
The patient data include basic patient information, exam information, image files and reports.
You can search, view, backup, send, restore or delete patient data in iStation.
 To Enter iStation
 Press <iStation> key on the control panel; or
 Click [iStation] in the Patient Info screen; or
 Click [iStation] in the Review screen.
The iStation screen is shown as follows:

Viewing Patient Information

 Data Source
Select the data source of patient data, the system patient database is default.
 Patient List
Display patient information, exam mode, number of images and cines, exam state,
backed up or not.
 New Exam
After you select a patient data or exam in the iStation screen, click the [New Exam] to
enter the Patient Info screen, where you can select a new exam mode and click [OK] to
begin a new exam.
 Select All Exams/ Deselect All Exams
Click [Select All Exams] to select all patient data listed. Then the button changes into
[Deselect All Exams], you can cancel all the selections by clicking [Deselect All].

9.4.1 Searching a Patient

(1) Select the data source.

Patient Data Management 9-9

 (2) Set search conditions of Name, ID, DOB, Exam Date in the "Item" drop-down list.
(3) Enter the keyword in accordance with the “Item” selected, and the system searches
and displays the results in the patient list.
(4) When you select a patient in the patient list, the images of this patient will be
displayed at the bottom of the screen.
Note:
 When you clear the keyword, enter other keyword or cancel the selection “Find in
results”, the system will refresh the searched results.
 Select “Find in results”, the system will do searching based on the last searched
results.

9.4.2 Patient Data View & Management

Select the desired patient information in the list. The following menu pops up:

 Review

Select an exam of a patient, click to enter Review screen.

 Info

Select an exam of a patient, click on the right side to display the patient information
of this exam.
 Report

After you select an exam of a patient, click to view the report of this exam for this
patient. If no report is generated in the exam, the system prompts that “There is no report
belongs to the exam”.
 Delete

Select an exam or a patient, click to delete. However, you cannot delete patient data
being printed, exported or sent, or delete the current exam.
To delete an image, select the image and click the Delete icon on the right side.
 Backup/ Restore
You can back up the selected patient data to the system-supported media in order to view
it on PC, or restore the patient data to the system from an external media.

: Backup. Click to export the selected patient data to the system-supported media.

: Restore. Click to import the patient data from an external media. If no external data
source is connected, then the button is unavailable.

9-10 Patient Data Management

 Send To
The system supports to send data to external memory devices or print.

 Select the patient record, click in the menu to send exam data or images of the
selected record.
 Select the image, click the Send To Arrow to send the selected image.
 Send patient exam data to USB devices, DVD drive and iStorage.
 Send images to USB devices, DVD drive, DICOM storage server, DICOM printer,
video printer, text/ graph printer and iStorage.
 Send images with report to USB devices, DVD drive and iStorage.
 Format transfer is available when sending images to USB devices, DVD or
iStorage. See "9.2.10 Sending Image File" for details.
 Press <Shift> on the control panel to select more than one exam or image at one
time.
 Activate exam

After you select an exam, which has been performed within 24 hours, click to
activate the exam and load the basic patient information and measurement data to
continue the exam.
If you want to select a patient data in an external memory database to start a new exam
or recover the exam, you have to first allow the system to load the patient data to the
system’s patient database.
 Continue Exam

Select an exam that is paused within 24 hours, click to activate the exam and load
the basic patient information and measurement data to continue the exam.
If you want to continue an exam which data lies in an external memory database, you
have to first allow the system to load the patient data to the system’s patient database.
 Recycle bin
The recycle bin is used to store the deleted patient data, exam data and images (time
lasts from deleting to system is powered off). The system supports recovery of those data
from the recycle bin. NOTE: The recycle bin will be cleared after the system is powered
off.
To recover the deleted patient data, click at the lower right corner of the screen
(when the button is gray, the operation is unavailable) to enter the Patient Recycle Bin
screen.
(1) Select items to be recovered in the list.
(2) Select operations:
 Click [Restore Items] to restore the item back to iStation;
 Click [Delete] to delete the item permanently, and the item can never be restored
again;
 Click [Restore All Items] to restore all the items back to iStation;
 Click [Empty Recycle Bin] to empty the recycle bin and all items can never be
restored again.
Click [Exit] to exit Recycle Bin screen and return to iStation.

Patient Data Management 9-11

9.5 Backing Up and Erasing Files through
DVD Drive
The system supports DVD-RW to write data in CD/DVD and to read data from CD/DVD in PC.
Support media: DVD±RW, CD-R/W.
 To write data to a CD/DVD:
(1) Put a CD/DVD in the tray.

(2) Select the data to be backed up, click or in the screen (in iStation or
Review). Select the target drive in the Send To or Back Up Patient Record dialogue
box.

(3) Click or [OK] to start writing with the symbol displays .

(4) After the writing process is completed, click to pop up the Disc Option dialogue
box, and select [Eject] to eject the CD/DVD.

 To erase data from a CD/DVD

(1) Put the CD/DVD in the tray.

(2) Double-click the symbol to pop up the [Disc Option] screen, as shown in the
figure below.
(3) Click [Erase] to erase data from a CD/DVD;
(4) After the erasing process is completed, click [Eject] in the Disc Option dialogue box.
Note:
 Writing data using “Send To” supports PC format transfer function, while CD/DVD
written by “Backup” supports only system-relevant formats.

 The symbol indicates that the input CD/DVD is damaged or with data of wrong
format.
During the backup process, if a CD/DVD is forcibly taken out or
CAUTION: you perform other operations, the backup process will fail or
the system may malfunction.

NOTE: Directly removing a DVD-RW/DVD+RW drive may result in the damage of

drive and/or the system, please refer to “3.6 Connecting/ Removing a USB
Storage Device” for disconnection.

9.6 Patient Task Manager

Click at the lower right corner of the screen to pop up the following dialogue box:

9-12 Patient Data Management

Including:
 Storage Task: displays the DICOM storage task.
 DICOM Print Task: displays the DICOM print task.
 Media Storage Task:
 DICOM media storage task(including disc and USB devices)
 Backup task (system-relevant format): select the exam to be backed up in iStation
and click .
 Send to external devices (including disc and USB devices): select exam data or
images in iStation or Review screen, click or [Send To].
 Print Task
List of the current printing task. Displays the file name, status (printing or suspended),
printer name, submit time etc.
If all print tasks are finished, the print icon will disappear from the screen, if not, please
check the manager to see if there is any failure task.
In the Task Management dialogue box, patient ID, name, destination, progress, type, status,
content and task created time are displayed.
You can do the following operations:
 Delete
Click [Cancel] to cancel the selected task.
 Retry
Click [Retry] to retry the failed task. When the printer ran out of ink or paper, tasks in print
list will be paused. Click [Retry] to continue the paused print task.
 Select All
Click [Select All] to select all the tasks.

Patient Data Management 9-13

 Task Status
Select the undergoing task, the system will display its detailed status information or error
information.

When there is/are task(s) undergoing, the task management icon displays as , you
can click the icon to check the process.

When there is/are task(s) failed, the task management icon displays as , you can
click the icon to check the failure reason.

When the task management icon displays as , it means no task is undergoing or

failure.
 DICOM Service Setting
Click [Service Setting] to enter DICOM preset. See section 10.3 DICOM Service.

9.7 Access Control

9.7.1 Access Setting
The system support user type of:
 Administrator
The system administrator can view all patient data, such as patient information, image
and report, etc.
 Operator
The operator can only view the exam information saved in the system and operated by
himself or herself, such as patient information, image and report, etc. The operator cannot
view the exam data operated by others.

Emergency operators are general ones, they can enter the system without entering
password. But they can’t modify or delete the password.

9.7.2 Setting Access Control

The system administrator can preset the access control, that is, if an operator has the right to
access to the data in the system.
The access control only can be set by the system administrator.
Setting access control:
1. Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin].
2. If [Enable User Account Control] is selected, you need to login before accessing system
data. If unselected, you can access all the data without the authority.

9.7.3 System Login

If [Enable User Account Control] is selected, you can access the data in the system only after
you login the system.
You need to enter user name and password in the following cases:
 Before entering the system
 Changing user
As long as the system is in working status, you can enter the above screens without inputting
user name and password repeatedly. You need to login again after system restart or
dormancy.

9-14 Patient Data Management

 Login the system:
(1) If the system requires you to log on the system before you access the data, you can
see the following dialogue box.

(2) Select the user name in the drop-down list of User Name.
(3) Enter password and click [Login].

For emergency users, click [Emergency] directly to log on.

 Changing user
(1) To log out the current user and change to another user, click at the lower right
corner of the screen to pop up the following dialogue box:

(2) Click [Change User] to pop up the Login dialogue box.

(3) Enter the user name and password in the field box.

9.7.4 Add/ Delete a User

The system administrator can add and delete a user, while the operator can’t.

9.7.4.1 Add a User

Premise: you must login the system as the system administrator. If not, you will be required to
enter administrator name and password before the setting.
1. Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin]. See the
figure below.

Patient Data Management 9-15

2. Click [Add] to enter the following page.

3. Enter the user name(you are not allowed to enter the same name or modify the name
already exist).
4. Enter user name and the password.
5. Set the user role in the drop-down list: administrator or operator.
6. Click [OK] to confirm the setting and exit the dialogue box, then the new user will appear
on the User List.

9.7.4.2 Delete a User

Premise: you must login the system as the system administrator. If not, you will be required to
enter administrator name and password before the setting.
1. Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin].
2. Select the user to be deleted in the User List (Emergency user can’t be deleted), click
[Delete] to delete the selected user.

9-16 Patient Data Management

9.7.5 Modify Password
The system administrator can modify password of all users. The administrator password by
factory is empty, you can set the password for it. The operator can only modify his/her own
password.
To modify the password, the user has to login the system first.
There are two ways to modify password: modify it on “Admin” page or on “Session Manage”
dialogue box.
 “Admin” page (administrator can modify the password)
(1) Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin].
(2) Select the user name to be modified (except emergency operator) in User List, click
[Change Password].
(3) Enter new password and confirm password in the dialog, then click [OK].
 Session Manage page(general operator and administrator can modify the password).
When the user has logged on the system, you can see at the lower right corner of the
screen.
(1) Click at the lower right corner to pop up the Session Manage dialogue box, on
which you can see the current user’s information.
(2) If you want to modify the current password, click [Change Password] to pop up the
Change Password dialogue box.

(3) Enter the previous and the new password in the dialogue box.
(4) Click [OK] to exit.

Patient Data Management 9-17

10 DICOM
NOTE: Before using DICOM, please read the electronic file DICOM CONFORMANCE
STATEMENT along with the device.
This chapter is confined to the preset, connection verification and DICOM services of the
DICOM-configured ultrasound machine, not including SCP configurations like PACS/ RIS/ HIS.
The DICOM package is optional, so the description here is only applicable for the system
configured with the DICOM package.
This system supports the following DICOM functions:
 DICOM Basic functions: DICOM verify connectivity, DICOM task management,
DICOM storage, DICOM print, DICOM storage commitment, DICOM media storage
(DICOMDIR review)
 DICOM Worklist
 DICOM MPPS
 DICOM Query/Retrieve
 DICOM OB/GYN Structured Report
 DICOM Vascular Structured Report
 DICOM Cardiac Structured Report
Workflows of DICOM preset and application are briefly described as follows:
1. DICOM preset (network preset, DICOM preset and DICOM service)
2. Verify connection.
3. DICOM Services (image storage, print, Worklist, storage commitment, media storage,
DICOMDIR review, task management).
Abbr. used in this chapter:

Abbr. Descriptions
Digital Imaging and Communications in
DICOM
Medicine
AE Application Entity
PDU Protocol Data Unit
SCU Service Class User (DICOM client)
SCP Service Class Provider (DICOM server)
SOP Service-Object Pair

10.1 DICOM Preset

10.1.1 Network Preset
NOTE DO Not edit IP address in Network Preset page as the network task is executed,
otherwise it fails. View if there is any undergoing task in task manager of the system.
Preset local TCP/IP settings.

DICOM 10-1
1. Press <Setup> to enter the [Setup] menu.
2. Select [Network Preset].

3. Local TCP/ IP preset items are described as follows:

Name Description
Current Net Adapter To select network connection mode.
DHCP DHCP: IP address will be automatically obtained from DNS server;
/ Static Static: you need to enter the IP address.
IP Address IP address of the system.
Subnet Mask Used to set different network segment.
Gateway Used to set the gateway IP.
Note:
 The IP address of the system should not be occupied by other devices in the network,
or the DICOM function will fail.
 After you changed “Station Name”, you need to restart the system to make the setting
effective (press the power button and select “Shut Down” and restart the system after
a while).

10.1.2 DICOM Preset

To set the DICOM service and server properties.
1. Press <Setup> to enter the [Setup] menu.
2. Select [DICOM Preset].

10-2 DICOM
3. Preset local DICOM properties and DICOM server.
 Localhost DICOM Service Property
Name Description
Application entity title of the ultrasound system.
AE Title The AE title here should be the same with the one of the acceptable
SCU set in the server.
DICOM communication port, which should be the same with the one
Port
in the server.
Maximum PDU data package size ranging from 16384 to 65536.
PDU
The default value is 32768.
Enter AE Title, Port, PDU according to the actual situation.
Note:
 AE Title should be the same with the SCU AE Title preset in the server (PACS/ RIS/
HIS), for example, if the AE Title of the server preset in the print server is AAA, and
the AE Title of the accepted SCU is preset as MMM, then in the figure above, the AE
Title of Local should be MMM, and the AE Title of print server should be AAA.
 DICOM Server Setting
Name Description
Device Name of the device supporting DICOM services.
IP Address IP address of the server.

DICOM 10-3
 Name Description
You can ping other machines to verify connection after entering the
Ping correct IP address. Also you can check the connection of the
already added server in the list.
[Add] Click to add servers to the device list.
[Set DICOM Service] Click to enter DICOM service preset, see “10.1.3 DICOM Service”.
[Delete] Click to delete the selected server (s) in the device list.
Note:
 If the currently entered name has already existed, the system will pop up: “The server
name exists!” Click [OK] to enter another name.

10.1.3 DICOM Service

When the system is configured with DICOM basic function module, and installed DICOM
Worklist and Storage Commitment, the corresponding preset settings can be found in DICOM
Service screen.

Enter [Setup]-> [DICOM Preset], Click [Set DICOM Service], you can add, delete and set the
property of the service on DICOM server.

10.1.3.1 Storage
1. Enter [Setup]-> [DICOM Preset]-> [Set DICOM Service]-> [Storage].
2. Select device, enter the information. For device setting, please refer to “10.1.2 DICOM
Preset.”
 Click [Add] to add the service to the Service list;
 Select an item in the service list, change the parameters in the above area, and click
[Update] to update the item in the service list; click [Cancel] to cancel changing.
 Select an item in the service list, and click [Delete] to delete the service.
 Select an item in the service list, and click [Default] to set the server to be the default
service.
3. Select an item in the service list, and click [Verify] to verify the connection.
4. Click [Exit] to save and exit the preset.

10-4 DICOM
DICOM storage setting items are described as follows:
Name Description
After you set the server (s) in DICOM Server Setting, the name
Device (s) will appear in the drop-down list, select the name of the
storage server.
Service Name Default is xxx-Storage, and it can be modified.
Application Entity title, Here, it should be consistent with that of
AE Title
the storage server.
DICOM communication port, 104 by default. Here, the port should
Port
be consistent with that of the storage server port.
 Maximum Retries: Range: 0-9.
 Interval Time(s): Reserved feature.
Advanced Preset  Timeout: Refers to time after which the system will stop trying
to establish a connection to the service. Value: 5－60s, in
increments of 5s, and 15 by default.
Color Mode Gray/ Mixed/ Color
Select the compression mode: uncompressed, RLE, JPEG and
Compression Mode
JPEG2000.
Compression Ratio Select the compression ratio: lossless, low, medium and high.
Allow Multiframe If SCP supports this function, then select it.
SR Storage Option To enable or disenable structured reporting sending.
[Add] Add the DICOM service to the service list.
[Cancel] Click to cancel the parameter setting.

DICOM 10-5
 Name Description
Select an item in the service list, change the parameters in the
[Update] above area, and click [Update] to update the item in the service
list.
[Delete] Click to delete the selected service in the service list
Select an item in the service list, click [Default] and you can see
[Default]
“Y” in the Default column.
Click to verify if the two DICOM application entities are normally
[Verify]
connected.
[Exit] Click to exit the screen.
Tips: RLE, JPEG and JPEG2000 are not supported by all SCPs. Please refer to the electronic
file DICOM CONFORMANCE STATEMENT of the SCP to check whether SCP supports or not.
Do not select these compression modes if the storage server doesn’t support them.

10.1.3.2 DICOM Print

1. Enter [Setup]-> [DICOM Preset]-> [Set DICOM Service]-> [Print].
2. Select device, enter the information. For device setting, please refer to “10.1.3 DICOM
Service.”
 Click [Add] to add the service to the Service list;
 Select an item in the service list, change the parameters in the above area, and click
[Update] to update the item in the service list; click [Cancel] to cancel changing.
 Select an item in the service list, and click [Delete] to delete the service.
 Select an item in the service list, and click [Default] to set the server to be the default
service.
3. Select an item in the service list, and click [Verify] to verify the connection.
4. Click [Exit] to confirm the setting and exit the page.

10-6 DICOM
DICOM print setting items are described as follows:
Name Description
After you set the server (s) in DICOM Server Setting, the
Device name (s) will appear in the drop-down list, select the name
of the print server.
Service Name Default is xxx-Print, and it can be modified.
Application Entity title. Here, it should be consistent with that
AE Title
of the print server.
DICOM communication port, 104 by default. Here, the port
Port
should be consistent with that of the print server port.
 Maximum Retries: Range: 0-9.
 Interval Time(s): Reserved feature.
Advanced Preset  Timeout: Refers to time after which the system will stop
trying to establish a connection to the service. Value: 5－
60s, in increments of 5s, and 15 by default.
Refer to copies of printed files. You can select among 1
Copies
through 5, or directly enter the number.
The system supports RGB(color printing) and
Settings MONOCHROME2 (black and white printing). Please select
the type the printer supports.
Film Orientation Select between LANDSCAPE and PORTRAIT.
Priority Specify printing task priority among HIGH, MED and LOW.
Select film size among the selections listed in the drop-down
Film Size
list.

DICOM 10-7
 Name Description
Specify quantity of printed files,e.g. STANDARD\2, 3
Display Format
indicates 6 images are printed for each page.
Medium Type Specify print medium: Paper, Clear Film, Blue Film.
Specify whether you want a trim box to be printed around
Trim
each image on the film: Yes or No.
Min Density Enter the minimum density of the film
Max Density Enter the maximum density of the film.
Configuration Info Enter configuration information in the field.
Specify where the file is exposed:
Destination MAGAZINE (stored in the magazine), or
PROCESSOR (exposed in the processor)
Replicate: interpolated pixels belong to duplicate of adjacent
pixels;
Bilinear: interpolated pixels are generated from bilinear
interpolations between adjacent pixels;
Magnification Type
Cubic: interpolated pixels are generated from cubic
interpolations between adjacent pixels; None: without
interpolation.
Select how the printer magnifies an image to fit the film.
[Add] Add the DICOM service to the service list.
[Cancel] Click to cancel the parameter setting.
Select an item in the service list, change the parameters in
[Update] the above area, and click [Update] to update the item in the
service list.
[Delete] Click to delete the selected service in the service list.
Select an item in the service list, click [Default] and you can
[Default]
see “Y” in the Default column.
Click to verify if the two DICOM application entities are
[Verify]
normally connected.
[Exit] Click to exit the screen.
Parameter setting should be consistent with the printer performance:
 For instance, if the printer cannot support film size to be “8IN*10IN”, please select the
printer supported size.
 Settings: RGB is color printing and MONOCHROME2 is black and white printing.
 Medium Type: for black and white printing, usually Blue Film or Clear Film is used,
and for color printing, Paper is usually used. For details, please refer to printer
conformance statement.
 Change the setting if necessary.

10.1.3.3 DICOM Worklist

1. On DICOM Service screen, click [Worklist] page tab to enter the Worklist page.
2. Select device, enter the right AE Title, port, etc.
3. Click [Add] to add the service to the Service List.

10-8 DICOM
DICOM Worklist service parameters are similar to those described in DICOM Storage Preset,
please refer to “10.1.3.1 Storage” for details.

10.1.3.4 MPPS Preset

1. On DICOM Service screen, click [MPPS] page tab to enter the MPPS page:
2. Select device, enter the right AE Title, port, etc.
3. Click [Add] to add the service to the Service List.
DICOM MPPS service parameters are similar to those described in DICOM Storage Preset,
please refer to “10.1.3.1 Storage” for details.

10.1.3.5 Storage Commitment

1. On DICOM Service screen, click [Storage Commitment] page tab to enter the Storage
Commitment page.
2. Select device, enter the right AE Title, port, etc.
3. Click [Add] to add the service to the Service List.

Special setting item for DICOM Storage Commitment service is Associated Storage Service,
as described in the following; other parameters are similar to those described in DICOM
Storage Preset, please refer to “10.1.3.1 Storage” for details.
Name Description
The associated storage server should be preset before storage
Associated Storage
commitment, only after the exam is sent out, can storage
Service
commitment be created.

10.1.3.6 Query/Retrieve Preset

1. On DICOM Service screen, click [Query/Retrieve] page tab to enter the Query/Retrieve
page.
2. Select device, enter the right AE Title, port, etc.
3. Click [Add] to add the service to the Service List.
4. Click [Exit] to confirm the preset and exit the page.
DICOM Query/Retrieve service parameters are similar to those described in DICOM Storage
Preset, please refer to “10.1.3.1 Storage” for details.

10.2 Verify Connectivity

If you want to verify connectivity (not a must), you can click [Verify] button on the pages of
DICOM Service screen respectively.
 If the verification succeeds, it will prompt “xxx Verify Succeed”.
 Otherwise, it prompts “xxx Verify Failed”.
If verification failed, the possible causes may be:
 The ultrasound machine can’t communicate normally with the server. Please check if
the cable is properly connected; or,
Check if the IP of the server is configured in the same segment with that of the
ultrasound machine; or,
Check if the network adapter, the router, the exchanger or the HUB are normally
working.
 The server does not support the verification. If the connection is normal, it can be
concluded that the server does not support the verification.

DICOM 10-9
  The server supports the verification, but this function is not activated. Please check if
the verification function is activated.
Note:
Not all the SCPs can support verification; please consult SCP belongings to confirm whether
SCP can support this service. If not, the verification won’t pass.

10.3 DICOM Service

If the system is configured with DICOM modules, and connected to the relevant DICOM
servers, after verifying connection, you can perform storage, print, Worklist, storage
commitment, and query/ retrieve applications.

10.3.1 DICOM Storage

DICOM Storage is used to send image(s) to DICOM storage server f or storage.
 Send image in iStation/Review/main screens
(1) Select image(s)
 Press <iStation> to enter the iStation screen, click to select an exam record in the list,
where thumbnails are displayed in the thumbnail area in the lower part of the screen,
and then click to select a thumbnail or several thumbnails. Or,
 Press <Review> to enter the Review screen, click to select an image or several
images. Or,
 On the main screen, select a thumbnail or several thumbnails.
(2) Select a saved image in the iStaion, Review or main screen, and click the Send To
Arrow on the right side of the image. The following dialogue box pops up:

(3) Select DICOM in the “Target” list, select a server in the “Storage Server” list.
(4) Click [OK] to start the sending.

10-10 DICOM
 To send image for storage after an exam ends
(1) Open “[Setup] → [System Preset] → [General]”, and then check
.
(2) Set a default storage server.
a) Enter the DICOM Service Preset screen via “[Setup] → [DICOM Preset] → [Set
DICOM Service]”.
b) Select a storage server in the Service List and click [Default]; you can see “Y” in
the Default column.
c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the
Setup menu to make the preset to take effect.
(3) After finishing resets, you can perform image scanning, each time you press <End
Exam> on the control panel, the system will send the image to the default DICOM
storage server for storage.

10.3.2 DICOM Print

DICOM Print is used to send image(s) to DICOM print server to print images .
 Print image in iStation/Review/main screens
(1) Select image(s), operations are the same with DICOM storage.
(2) In the Send To dialogue box, select a DICOM print server.

(3) Click [OK] to send print task.

10.3.3 DICOM Worklist

After successfully connected DICOM Worklist server with ultrasound system, you can query
patient records from Worklist server, and then import the desired information to your system.

DICOM 10-11
 To query patient information via Worklist server:
(1) Press <Patient> to enter Patient Info screen.
(2) Click [WorkList] to enter the WorkList page.

(3) Retrieve Patient Information

a) Set query criteria among Patient ID, Patient Name, Accession #, Search Key,
Worklist Server or Exam Date. The default exam date is the current date.
b) Click [Query].
c) The scheduled patients, which meet the criteria, are displayed in the lower part of
the screen.
d) After the first query, you can perform the second query based on the preview
results. The scheduled patients in the list will update in real time.
(4) Select the desired patient record in the displayed patient list, and
Select the desired patient and click [Start Exam], the patient information is imported
into the system and then an exam is started.
Click [Transfer], the patient information is imported into the Patient Info screen. Edit
the patient information in the Patient Info screen, and select [OK] to start a new exam.
(5) To show patient information in details:
a) Click to select a patient record.
b) Click [Show Detail] to view the detailed patient information and properties.
 Use the automatic query function via Worklist server
(1) Enter DICOM Service Preset screen, and open the Worklist page: [Setup]→[DICOM
Preset]→[Set DICOM Service]→“Worklist”.
(2) Select an item in the service list, and click [Default] to set the server to be the default
service.
(3) Click [Exit] and click [Save] in the Setup menu.

10-12 DICOM
 (4) Press <Patient> to enter Patient Info screen.
(5) Click [WorkList] to enter the WorkList page.
(6) The system queries intraday patients via Worklist server automatically and the patient
records will appear in the list.
In the off-line status, you can:
 Perform a second query; or,
 Click [Show Detail] to view the patient information in details:

10.3.4 MPPS
MPPS is used to send exam state information to the configured server. This will facilitate the
other systems to obtain the exam progress in time.
The status information is described as below:
 When you begin an exam or send image(s) during the exam, the system sends
status information “Active” to MPPS server.
 When the exam is completed, the system sends status information “End” to MPPS
server.
 When a paused exam is continued, the system sends status information “Active” to
MPPS server.
 When an exam is cancelled, the system sends status information “Cancelled” to
MPPS server.

10.3.5 Storage Commitment

Storage commitment is used to make sure the images are successfully stored in the DICOM
server.
Before storage commitment, you should set a default storage commitment server.
 Storage commitment after sending images on iStation screen
(1) Open iStation screen: press <iStation> or press <Patient> and click [iStation].

(2) Select an exam record (image (s) is/are stored in the exam record), click to
open the Send To dialogue box.
(3) Click to select “DICOM” in the “Target” box on the left side, then select the DICOM
storage server in the “Storage Server” box on the right side.
(4) Click [OK] to start sending. The system will send all the images stored in the exam
record to the storage server, meanwhile, it will send storage commitment to the
storage commitment server.
 To send storage commitment after an exam ends
(1) Open [Setup] -> [System Preset]-> [General], and then select [Sending/ Printing after
End Exam] in the Patient Info area.
(2) Set the default storage server and storage commitment server.
a) Enter the DICOM Service Preset screen via “[Setup] -> [DICOM Preset] -> [Set
DICOM Service]”.
b) Select a server in the Service List of Storage page and Storage Commitment
page and click [Default]; you can see “Y” is marked in the Default column.
c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the
Setup menu to make the preset to take effect.
(3) When finished the presets, you can perform image scanning, each time you press
<End Exam> on the control panel, the system will send the image to the default
DICOM storage server for storage and send storage commitment to storage
commitment server.

DICOM 10-13
If images are successfully sent to the storage server, the storage commitment server will
return information about the successful image storage. In the iStation screen, you will see
there is a tick “√” marked in the list below .
Tips:
Storage commitment is confined to the whole exam; not each image sending can be indicated.
NOTE: Multi-frame storage is not allowed if “Allow Multiframe” is not selected ([Setup]->
[DICOM Preset] -> [Set DICOM Service] -> [Storage]). For example, if there is
multi-frame file in the exam to be sent, then only single-frame image storage will be
performed, and after the storage is completed, there is no “√” marked in the list
below in the iStation screen.

10.3.6 Query/Retrieve
The query/retrieve function is employed to query and retrieve the patient exam records in a
designated server.
After setting the DICOM query/retrieve server, you can perform the query/retrieve function in
iStation screen.
1. Open iStation screen: press <iStation> on the control panel; or, press <Patient> on the
control panel, and then click [iStation] on the Patient Info screen.
2. Click [Query/Retrieve] to open the screen.

3. Select the server in “Server and Service” area (both the source and the destination).
4. Enter the query information, such as Patient ID, Patient Name, Accession #, Exam Date,
or key words.
Click [Clear] to empty the entered query information.
5. Click [Query], the system performs the query and lists out the results into the patient
(source) list.

10-14 DICOM
 You can perform further query basing on the results by entering new query information.
6. Select one or more patient records according to the actual situation.
Click [Select All] to select all the patient records in the list.
Click [Deselect All] to deselect all the patient records in the list.
7. Click [Retrieve] to retrieve the patient records in the DICOM query/retrieve server into the
local machine.
8. Click [Exit], you can see the retrieved patient records are listed in the iStation screen.

10.4 DICOM Media Storage

The system supports to save patient data to the external media in DCM format. Meanwhile, in
the system, you can view the saved DCM files from external media
 Media storage:
1. Select patient record(s) in the iStation screen.

2. Click , the following dialog box popped up:

3. Select the destination, and select DICOM format.

4. Set whether to remove patient exam data or only images from the local hard disk.
5. Click [Backup] to begin storage.
If the backup succeeded, there will be a tick marked in the Backup list in iStation screen;
otherwise, no tick is marked.
Tips: There should be no DICOMDIR/ DICMIMG/IHE_PDI files in the external storage
media of the same name with the one being backed up, otherwise, the backup
can’t proceed. Please make sure there is enough storage space; otherwise,
backup may fail due to space shortage.
 Media review:
1. Connect the external media with DCM files to the system.
2. Select the data source in iStation screen, and the visible data will be shown.
If there are several kinds of data on the media, the system will ask you to select the format
from a dialog box.

DICOM 10-15
 Data Restore:
1. If the DICOM format data is backed up to external media, you can restore the data to the
system from the media.
2. Review the data stored in the external media.
3. Select the data to be restored in iStation.

4. Click in the iStation screen.

NOTE: Only the system accessible media can be selected.

10.5 Structured Report

DICOM OB/GYN Structured report, Cardiac Structured report and Vascular Structured
reportare supported by this system, they can be sent together with the exam only.
 Send image and structured report for storage in iStation screen
(1) Select “Attach SR When Store Images” in the DICOM Storage preset page, for details;
please refer to “10.1.3.1 Storage”.
(2) Create new patient information or load scheduled the patient information.
(3) Perform measurements.
(4) Save the image (s).
(5) End the exam.
(6) Open the iStation screen, select the patient exam, and click the corresponding [Send
Exam] button in the popped up menu to open the Send To dialogue box.
(7) Click to select “DICOM” in the Target box on the left side, and then select the DICOM
storage server in the Storage Server box on the right side.
(8) Click [OK], you can check for the result in the DICOM Task Management dialogue
box. After successful storage of both image and structured report, you can see the
storage commitment mark “√” in the list below in the iStation screen.
The structured report can be sent automatically, for details, please refer to “10.3.1DICOM
Storage”.
 Back up structured report
When record or store the exam that has a structured report to the external media
(DICOMDIR), the structured report can be backed up together.

10.6 DICOM Task Manager

DICOM Task Management is used to view task progress or manage tasks after sending
images for storage, print, or media storage.
For details on tast manager, see 9.6 Patient Task Manager.

10-16 DICOM
11 Setup
The Setup function is designed to set the configuration parameters of operating the system
and maintaining user workflow setup data. The setup data of the user and system are stored
to the hard drive, and should be backed up to CD/DVD or USB memory devices.
When the setup data is changed, be sure to save the preferences
CAUTION: according to the methods described in this chapter. Mindray is
not responsible for the loss of the setup data.
 To enter Setup:
 Press the <Setup> to enter Setup.
 To exit Setup:
Click [Save] on the Setup page to close the Setup menu, and the parameter settings is
saved.
Click [Cancel] or press <Esc> on the control panel to exit the setup.

11.1 System Preset

Click [System Preset] on the Setup menu, you can preset:
Page Description
To set the hospital name, language, time zone, time format, system
Region
date/time, logo and so on.
To set patient information, exam setup, patient management, storage,
General
system dormancy, operation log and so on.
Image To set some general parameters in imaging modes.
Application To set the measure ruler, follicle etc..
To set the relevant information about fetal gestational age, fetal
OB (obstetrics)
growth formula and fetal weight.
Key Config To assign functions to footswitch and user-defined keys.
To set the needle-guided bracket model and biopsy guide line
Biopsy
relevant parameters.
Admin To set the user account control relevant information.

11.1.1 Region
Open the Region page via [Setup]-> [System Preset]-> [Region].
Item Description
To set the hospital relevant information like name, address, telephone
Hospital Information
and so on.

Setup 11-1
 Item Description
To select a language for the system, the available languages are
Chinese, English, French, German, Italian, Portuguese, Russian,
Spanish, Polish, Czech, Turkish, Finnish, Danish, Icelandic,
Language Norwegian, and Swedish.
The system will restart automatically after you change the language
and return from the Setup menu.
Time Zone To select the time zone.
To set the date format among DD/MM/YYYY, MM/DD/YYYY and
Date Format
YYYY/MM/DD.
Time Format To select the time format between 12Hour and 24 Hour.
To set the system date.
Posit the cursor into the corresponding field, and enter the data
System Date
through the keyboard; or, click the calendar icon , and then select
the date.
Enter time to the text box; or modify the time via spinner buttons on
System Time
the right side.

11.1.2 General
Open the General page via [Setup]-> [System Preset]-> [General].

11-2 Setup
 Type Item Description
To select if to display the following patient information
Info displays in
on the image banner: Gender, Age, Operator, ID,
image banner
Name, Hospital
Patient Info
H&W Unit To set the unit for patient height and weight.
Surface Formula To set the surface formula.
To set the size for a stored image:
Image Area
Image Output Size
Standard Area
Other Full Screen
Clip length/ Time
Times: 1~60s
(s)
Output Mode PAL/ NTSC
Patient Sending/printing Select if to automatically archive the exam data to
Management after End Exam DICOM server for storage/print.
Enable To enable screen saver function, and select the waiting
ScreenSaver time until screen saver.
Screen Enable Standby Available after “Enable ScreenSaver” is selected.
Saver
After screen saver function is enabled, click [Browse] to
Select Picture select the figure used for screen saver, and click
[Preview] to see the effect.
Status after exam Select to enter the imaging scanning, patient info or the
Exam Setup
ends Worklist after ending an exam.
Color temperature Cold/ Warm
Display Brightness/Contrast Load the factory data of the display brightness and
Load Factory contrast.

11.1.3 Image Preset

Open the Image Preset page via [Setup]-> [System Preset]-> [Image], as shown in the figure
below.

Setup 11-3
 Type Item Description
Reset Config Probe To set the default probe model for the system.
To set MI TI indexes displayed for current probe/exam
/ MITI
mode.
Freeze
Status after Freeze To set the system status after image is frozen.
Config
To set the steer mode in B+ Color +PW imaging mode.
C&PW: select to adjust the sample volume in color
Steer mode and sample line in PW mode together.
C/PW: select to adjust the sample volume in color
mode and sample line in PW mode individually.
Image The spectrum can automatically invert when the color
Auto Invert flow is steered to a certain angle, thus accommodating
operator’s habit of distinguishing flow direction.
Cine Memory To set the cine memory splitting type.
iScape Ruler To set if to display the iScape ruler on iScape imaging
Display mode.

11.1.4 Application
Open the Meas page via [Setup]-> [System Preset]-> [Application]. Through the page, you
can set the measure ruler, follicle and relevant information. For details, please refer to the
Operator’s Manual [Advanced Volume]

11-4 Setup
11.1.5 OB
Open the OB page via [Setup]-> [System Preset]-> [OB]. Through the page, you can set the
gestational age formula, fetal growth formula, fetal weight formula and the relevant
information. For details, please refer to the Operator’s Manual [Advanced Volume].

11.1.6 Key Config

Open the page via [Setup]-> [System Preset]-> [Key Config], as shown in the figure below.

 Key function setting

You can set the functions for <Print>, <Save 1>, <Save 2> <F1> and footswitch.
To assign a function to a key:
(1) Click to select the desired key in the Key Function column at the left side of the page.
(2) Click to select a function in Function area. You can see the functions selected at the
right side of the select key.
(3) Click [Save] to complete function setting.

The following introduces an example as setting <F1> as “Send Cine to USB disk”:
(1) Select F1 in the “Key Function” list at the left side of the page.
(2) Select “Send Cine to USB disk” in “Function” at the right side of the page.
(3) Click [Save] to complete the setting.

Setup 11-5
 Other Settings
Item Description
Key Brightness To set the lightness for the keys.
Key Volume To set the key volum. Zero means no sound.
Trackball Speed To set the trackball speed when move the trackball.
Trackball Brightness To set the color for the trackball.

11.1.7 Admin
Open the Admin page via [Setup]-> [System Preset]-> [Admin].
For details of access control, please refer to “9.7 Access Control”.

11.2 Exam Preset

Open [Setup]-> [Exam Preset] to enter Exam Preset screen.

Procedures:
1. To select a probe:
Move the cursor to [Probe], and select a probe from the drop-down list.
2. Selecting/delete exam modes
On the right side of the screen, you can view the exam types supported by the current
probe. On the left side, you can view all the exam modes supported by the system, i.e.,
Exam Library.

11-6 Setup
  [>]: add a selected exam mode in the [Exam Library] to the [Exam Selected] list.
 [>>]: add all exam modes in the library to the [Exam Selected] list.
 [<]: remove an exam mode selected from the [Exam Selected] list.
 Click [Up] and [Down] to adjust the sequence of the items in Selected Items.
 Click [Default] to set a selected exam mode as the default exam mode.
3. Click [Save] to confirm the modified setup; or click [Cancel] to cancel the modified setting.

11.3 Measure Preset

For measurements details, please refer to the Advanced Volume.

11.4 Comment Preset

You can preset the custom comments library for each exam mode to your preference. The
comments in the library are provided by the system or user-defined ones. The name of the
library, which can be set, will appear on the first page of the library.
Open the Comment page via [Setup]-> [Comment Preset].

Procedures:
1. Select an exam mode.
2. Enter Library Name: you can enter characters for the library name, or accept the default
name (the same as that for the exam mode).
3. Select an available item.
4. Add user-defined comments: directly enter comment texts, or select comment texts for
the comment library.
 Directly enter comment texts: position the cursor in the field box above [Add
Comment], enter the text comment through the keyboard, and then click [Add
Comment]. Then the directly-entered comment will be added to the Available Items
and Selected Items.

Setup 11-7
  Select Available Items: First select a comment library in the drop-down list beside
“Available Items”, and then click [Set] on one item displayed below “Available Items”.
 Click [>] to add the item in Available Items on the left into Selected Items on the
right.
 Click [>>] to add all items in Available Items on the left into Selected Items on the
right.
5. Change position of the selected items: select an item on the right side box and click [Up],
[Down], [Left] or [Right] button to change the position of the item.
6. Delete comments:
 Remove item (from the library or user-defined) in the Selected Items list:
Select an item in Selected Items list, and click [<] to remove it to the Available Items
list.
Click [<<] to remove all items in Selected Items.
 Delete a user-defined item in the Available Items box. You can only delete the user-
defined items rather than the items in the system library. After a user-defined item is
deleted, it will not be available.
Select a user-defined item in the Available Items box, and click [Delete]. After the
user-defined item in the Available Items box is deleted, the same item in the Selected
Items box on the right will disappear as well.
7. After you customize comments, click [Save] to confirm and exit the [Comment Preset]
screen.

11.5 Bodymark Preset

In order to accommodate your workflow – numerous preferential settings can be captured in
Body Mark Preset. This function is to preset, body marks in each exam type, or user-defined
body marks.
Enter [Setup]-> [Bodymark Preset] (as shown in the figure below).

11-8 Setup
To preset body mark for exam mode:
1. Select an exam mode in the drop-down list, the current exam mode is set by default.
2. Enter the library name of custom body marks.
3. Select a package from the drop-down list besides Available Item.
4. Add or delete body mark(s)
To add the item selected from the [Available Items] into the [Selected
[>]
Items].
[>>] To add all items from the [Available Items] into the [Selected Items].
To remove the selected item in [Selected Items] to the [Available
[<]
Items].
[<<] To remove all items from the [Selected Items].
5. Click [Up] and [Down]: to adjust the sequence of the items in Selected Items.
6. Preset the probe mark of the selected body mark in Selected Items
Move the cursor onto the probe mark of the body mark in Probe area and press <Set> to
make the cursor turn green. Roll the trackball to change the position of the probe, rotate
the multifunctional knob to change the angle, and press <Set> to confirm the orientation
of the probe.
7. Select the body mark in Selected Items and click [Default], and then the body mark will be
marked with a tick ”√”.
8. Click [Save] to complete the setting.

11.6 Print Preset

The settings of a printer include print service, print driver and printer adapter .

Setup 11-9
  Print Service Setting
 Add Service: click to begin print service adding.
 Remove Service: click to delete the selected print service.
 Rename Service: click to rename the selected print service.
 Property: to preset the property of print services.
 Printer Driver Setting
Printers listed in the operator’s manual are all supported by the system, no drive is
required.
Click [Print Driver] page to enter printer driver setting screen:
 Display the printer name as well as print status.
 You can add printer including network printer.
 Check the printer attribute.
For details about DICOM print, please refer to “10 DICOM”.
 Printer Adapter
For details, please refer to the “Appendix D Printer Adapter”.

11.7 Network Preset

 For local TCP/IP Setting and DICOM preset, please refer to “10.1 DICOM Preset”.
 The iStorage screen is as follows:

Name Description
Service Name Name of the device, cannot be empty
Port Port for transmitting.

11-10 Setup
 Name Description
IP address of the PC installed with iStorage software, cannot be
IP Address
empty
Press to verify connection with the PC server. On PC server, if the
storage path has not been confirmed, a dialog box will pop up and
Connect guide the user to set it. If the storage path on PC has already been
set, here it displays connection successful after clicking this button.

Add Click it to add the new service to the service list.

Update To save the changed parameters.
Delete Click to delete the selected service in the service list.

Default Click to set an selected item in the list as the default iStorage server.

Save Click to save and exit the screen.

 Add a network service:

1. Set the network server properties as described above.
2. Click [Add] to add the service to the Service list;
3. Select the added service in the service list, you can delete it.
 Modify a network service:
1. Select the service to be updated in the service list.
2. You can see properties in the Configure Service area.
3. Modify the parameters and click [Update] to update setting.
Tips: in order to make network storage function normally, setting of the sharing folder of the
PC server in advance is a must, e.g. machine name, IP address, should be confirmed at first.
You can send exam data of images to iStorage server by UltraAssist. For details about this
feature, please refer to the UltraAssist manual.

11.8 Maintenance
In the Setup menu, select [Maintenance] enter the screen.

11.8.1 Option
The system enters Option page after you enter the Maintenance screen. In Option list, the
system lists out all the system supported options and the installation status (Not installed or
Installed).
 Install and uninstall
 Click [Install] to begin the installation of a disabled option.
 Click [Uninstall] to begin the un-installation of an already installed option.
 Trial
Select the option item in the list to see the information on the Comment region on the
right. For functions that are not configured, you can use the function for free for 3 months.
 Click to select the function(s) and click [Trial].
Tips: Every trial option can be used only once. Please refer to the dependence
relationship between options in chapter “2.5.3 Options”.
Please contact Mindray Customer Service Department or sales representative for details.

Setup 11-11
11.8.2 Other Settings
Type Item Description
Export Log Export the operation log.
Log
Upload Log Upload the operation log.
Load Factory Local factory default settings.
Preset Manager Export Export preset data to disk.
Import Import the preset data into the system.

11.9 System Information

Click [About] in the Setup menu to enter the system information screen. (The information
varies depending upon the system configurations and version.)
 About
Lists product name, hardware version and other information.
 About Detail
Lists version information of the software, hardware and other modules.

11-12 Setup
12 Probes and Biopsy
12.1 Probe
The system supports the following probes:
No. Probe model Illustration

1. 35C50EA

2. 65C15EA

3. 65EC10EA

4. 75L38EA

Probes and Biopsy 12-1

 No. Probe model Illustration

5. 10L24EA

6. 35C20EA

7. 35C50EB

8. 75L38EB

9. 65EC10EB

10. D6-2EA

Note: For details of storage time and condition for disinfected probes or sterilized probes
and brackets, please refer to Technical standard for Disinfection of Medical and Health
Structures

12-2 Probes and Biopsy

12.1.1 Name and Function of Each Part of the
Transducer
Basic structures and functions of all probes listed above are similar, and are described as
follows.
 Probe 35C50EA
<2>

<1>
<3>

<4>

<5>

No. Name Function

It converts the electrical signal into ultrasound signal,
making the sound beams focus in the given direction;
meanwhile, it will receive the ultrasound signal and then
<1> Transducer head convert the received signal into electrical signal.
The lens on the surface is the acoustic lens. Apply
ultrasound gel on the acoustic lens.
Needle-guided
<2> bracket fix tabs and Used to mount the needle-guided bracket.
grooves
Used to transmit electrical signals between the transducer
<3> Transducer cable
body and connector.
Used to connect the transducer to the ultrasonic diagnostic
<4> Transducer connector
system.
Lock handle This locks the connector to the ultrasonic diagnostic
<5>
system.
The probes’ structure marked <2> in the figure above may vary with the matched needle-
guided brackets.

12.1.2 Orientation of the Ultrasound Image and the

Transducer Head
The orientation of the ultrasound image and the transducer are shown below. The “MARK”
side of the ultrasound image on the monitor corresponds to the mark side of the transducer.
Check the orientation before the examination (take linear probe as an example).

Probes and Biopsy 12-3

 Orientation mark

Mark

12.1.3 Operating Procedures

This section describes general procedures for operating the transducer. The proper clinical
technique to be used for operating the transducer should be selected on the basis of
specialized training and clinical experience.

12-4 Probes and Biopsy

 Procedures for operating (with biopsy function)

Inspection before examination

Connection to the ultrasonic

diagnostic system

Examinations

Biopsy procedure

Disconnection to the ultrasonic

diagnostic system
Sterilization of the needle-
guided bracket

Wiping off the ultrasound gel

Inspection after use

Washing the transducer with water

Storage

Draining/drying

Immersion into disinfectant

Removing the transducer

from disinfectant

Rinsing the transducer in sterile water

Draining/drying

Inspection after use

Storage

Probes and Biopsy 12-5

 Procedures for operating (with no biopsy function)
Inspection before examination

Connection to the ultrasonic

diagnostic system

Examinations

Disconnection to the ultrasonic

diagnostic system

Wiping off the ultrasound gel

Washing the
transducer with water

Draining/drying

Disinfection

Immersion into disinfectant

Removing the transducer

from disinfectant

Rinsing the transducer into sterile water

Draining/drying

Inspection after use

Storage

Disinfect the probe and sterilize the needle-guided bracket

before and after an ultrasound-guided biopsy procedure is
WARNING: performed. Failure to do so may cause the probe and the
needle-guided bracket become source of infection.

12-6 Probes and Biopsy

12.1.4 Wearing the Transducer Sheath
A transducer sheath must be installed over the transducer before performing examination.
Probe sheaths are available for use with all clinical situations where infection is a concern.
A probe sheath must be installed over the probe before performing intra-cavity or biopsy
examination. Use a commercially available transducer sheath.
To order transducer sheath, contact:
CIVCO Medical Instruments Co.
102 First Street South, Kalona, IA 52247-9589 USA Tel: 1-319-656-4447
E-mail: [email protected]
http://www.civco.com
1. Be sure to cover the probe with a new (unused) probe sheath
CAUTION: to prevent infection during examination. If the package of a
probe sheath is open or broken, the sterilization of the probe
sheath may not be sufficient. DO NOT use such a probe
sheath.
2. The cover contains natural rubber latex and talc that can
cause allergic reactions in some individuals.
3. DO NOT use an expired probe sheath. Before using probe
sheaths, verify whether the term of validity has expired.

Method (for reference only):

1. Place an appropriate amount of gel inside 2. Insert the transducer into sheath making
the sheath or on transducer face. Poor sure to use proper sterile technique. Pull
imaging may result if no gel is used cover tightly over transducer face to remove
wrinkles and air bubbles, taking care to
avoid puncturing cover.

3. Secure the sheath with enclosed elastic 4. Inspect the sheath to ensure there are no
bands. holes or tears.

Probes and Biopsy 12-7

12.1.5 Probes Cleaning and Disinfection
After completing each examination, clean and disinfect (or sterilize) the probes as required.
When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket.
Fail to do so may result in the probe and the needle-guided bracket to becoming sources of
infection. Please follow the instructions in the manual for cleaning.
Never immerse the probe connector into liquid such as water or
WARNING: disinfectant. Immersion may cause electrical shock or
malfunction.

1. When performing cleaning and

CAUTION: disinfection of the probe to prevent
infection, wear sterile gloves.

2. After disinfection, rinse the probe thoroughly with sterile

water to remove all chemical residues. Chemical residues on
the probe may be harmful to the human body.
3 No cleaning and disinfecting may result in the probe
becoming a source of infection.

NOTE: 1. After the examination, wipe off the ultrasound gel thoroughly. Otherwise, the
ultrasound gel may solidify and degrade the image quality of the transducer.
2. DO NOT make the probe to become overheated (more than 55°C) during
cleaning and disinfections. High temperature may cause the probe to become
deformed or damaged.

Cleaning
Please refer to the instructions in the manual and follow your hospital policy and procedures
for cleaning.
1. Disconnect the probe from the system.
2. Wear sterile gloves to prevent infection.
3. Wash the transducer with clean water or soapy water to remove all the foreign matters, or,
wipe the transducer with a soft ethyl carbamate sponge. Avoid using a brush, because it
may damage the transducer.
4. Dry the transducer using a sterile cloth or gauze after rinsing. Do not dry the transducer
by heating it.

Disinfecting with Sprays

Use protective eyewear when disinfecting using sprays.
CAUTION:

1. Wear sterile gloves to prevent infection.

2. After you have finished cleaning, spray the transducer with a disinfectant. Follow the
disinfectant manufacturer’s recommended contact time and mode.
3. Remove any residue with a water-moistened soft cloth on the transducer.
4. Wipe off water on the transducer using sterile cloth or gauze after washing.

12-8 Probes and Biopsy

 Connector

Strain relief

NOTE: Observe the graph here carefully to perform disinfection. Do not spray the strain
relief on the connector end or the connector.

Disinfecting by Immersion
1. Wear sterile gloves to prevent infection.
2. Clean the transducer before disinfecting it.MINDRAY recommends the following solutions
to disinfect the transducer.
 Refer to the instructions provided by the chemical manufacturer concerning
concentration of the disinfectant solution, method of disinfection and dilution and
cautions during use.Do not soak the transducer connector or the cable near it into
water or any solution.
 Soak the transducer into the disinfectant solution for the shortest time the
manufacturer recommends (for example, the shortest time recommended by the
manufacturer for soaking Cidex OPA is 12 minutes).
 Follow local regulations when selecting and using the disinfectant.
3. Rinse the transducer with plenty of sterile water (about 2 gallons) for at least 1 minute to
remove all chemical residues on it.Or, follow the rinsing method recommended by the
disinfectant manufacturer to rinse the transducer.
4. Wipe off the water on the transducer with sterile cloth or gauze after rinsing it.Do not dry
the transducer by heating.

Probes and Biopsy 12-9

 Strain relief
Probe handle

NOTE: 1. Observe the graph here carefully to immerse the transducer. Only soak parts
of the transducer below the strain relief.
2. Repeated disinfection will eventually damage the probe, please check the
probe performance periodically.

Compatible Disinfectants
Please see Mindray Transducer Disinfectant Recommendation for the disinfectant use in
details.

12.1.6 Storage and Transportation

When all examinations for the day have been completed, confirm that the transducer is in
good condition. After disinfecting the transducer, confirm that the transducer is in good
condition and store it in a suitable place so that the next examination can be conducted
smoothly.
1. To prevent the transducer from being damaged, do not store it in locations where it may
be exposed to:
 Direct sunlight or X-rays
 Sudden changes in temperature
 Dust
 Excessive vibration
 Heat generators
2. Store and transport the transducer under following ambient conditions:
 Ambient temperature: -20°C ~ 55°C
 Relative humidity: 30% to 95% (no condensation)
 Atmospheric pressure: 700 hPa ~ 1060 hPa
3. Store and transport the transducer D6-2EA under following ambient conditions:
 Ambient temperature: -10°C ~ 50°C
 Relative humidity: 20% to 95% (no condensation)
 Atmospheric pressure: 700 hPa ~ 1060 hPa
4. When the transducer is sent to MINDRAY Customer Service Department or sales
representative for repair, be sure to disinfect it and keep it in the carrying case to prevent
infection.
5. Disinfect the carrying case as necessary.

12-10 Probes and Biopsy

12.2 Biopsy Guide
1. The person performing biopsy procedures must
understand diagnostic ultrasound thoroughly and
WARNING: have been trained adequately, otherwise, side effects
may be caused in the patient.
2. In situations listed below, the biopsy needle may fail
to penetrate the target. The incorrect biopsy may
cause various side effects in the patient.
 Use a needle-guided bracket that doesn't match
with the transducer.
 Mounts the needle-guided bracket incorrectly.
 Use a biopsy needle that is unsuitable for the
type of biopsy being performed.
 Use a biopsy needle that is unsuitable for the
type of biopsy being performed.
3. Before and after a biopsy procedure is performed,
confirm that the needle-guided bracket is normal.
Manually confirm that the parts of the needle-guided
bracket do not slip off or move from their proper
positions. If the needle-guided bracket is used when
parts are not securely and correctly installed, the
patient may be injured. If an abnormality is found on
the needle-guided bracket, immediately stop using it
and contact MINDRAY Customer Service Department
or sales representative.
4. Do not use a needle-guided bracket when scanning is
performed. The needle may advance in an incorrect
direction and possibly injure the patient.
Never perform a biopsy during image scanning.
5. Do not freeze an image while performing biopsy
procedure.
6. During biopsy procedures, the needle may deviate
from the desired course due to the tissue
characteristics or the type of needle. In particular,
needles of small diameters may deviate to a greater
degree.
7. Sterilize the transducer and the needle-guided bracket
before and after each ultrasound-guided biopsy
procedure is performed. Fail to do so may cause the
transducer and the needle-guided bracket become
sources of infection.
8. The needle mark displayed on the ultrasound image
does not indicate the actual position of the biopsy
needle. Therefore, it should only be used as a
reference. Always monitor the relative positions of the
biopsy needle during the procedures.
9. Adjust the needle mark before the biopsy procedure is
performed.

Probes and Biopsy 12-11

 10. When performing biopsy procedures, use only sterile
ultrasound gel that is certified to be safe. And manage
the ultrasound gel properly to ensure that it does not
become a source of infection.
11. When performing the operation concerning biopsy,
wear sterile gloves.
12. Image of the biopsy target and the actual position of
the biopsy needle:
Diagnostic ultrasound systems produce tomographic
plane images with information of a certain thickness in
the thickness direction of the transducer. (That is to
say, the information shown in the images consist all
the information scanned in the thickness direction of
the transducer.) So, even though the biopsy needle
appears to have penetrated the target object in the
image, it may not actually have done so. When the
target for biopsy is small, dispersion of the ultrasound
beam may lead to image deviate from the actual
position. Pay attention to this. Image deviation is
shown as the figures below:

Biopsy
Target

The biopsy needle appears to reach the target object in

the image

Probe

Needle
Target
Ultrasound beam

Dispersion of the ultrasound beam

To avoid this problem, note points below:
Do not rely only on the echo of the needle tip on the
image. Pay careful attention to the target object, which
should shift slightly when the biopsy needle comes
into contact with it.
Before you perform the biopsy, please evaluate the
size of the object and confirm if the biopsy can be
carried out successfully.

12-12 Probes and Biopsy

 When using the needle-guided bracket wear sterile gloves to
CAUTION: prevent infection.

12.2.1 Basic Procedures for Biopsy Guiding

1. Select the right needle-guided bracket and needle, install them properly.
2. Verify the biopsy guide line. For details, please refer to “12.2.4 Biopsy Menu”.
3. Press <Biopsy> on the control panel.
 If the current probe has no matched bracket; or, the image is frozen and the guide
line is hidden before image frozen, then you can’t enter Biopsy menu.
 Before entering Biopsy menu, the system will prompt you “Please verify guidelines
before biopsy”.
4. Set [Display] as “On” to display the guide line, select the bracket and guide line according
to actual situation. For details, please refer to “12.2.4 Biopsy Menu”.
5. On the Biopsy menu, click [Verify] to enter the Verify menu to verify the guide line. After
the verification, click [Save] on the menu to save the parameter setting. And then click
[Exit] to return to Biopsy menu.
Note:
 If you switch the probe or needle-guided bracket during the biopsy, please verify the
guide line again.
 When exit the Biopsy Verify menu without saving the setting, system will confirm with
you “Data have changed. Do you want to save the changes?”, Click [OK] to save the
setting and return to Biopsy menu. Click [OK] to save the setting and return to biopsy
menu.
6. Scan to locate the target. Center the target in the electronic guidezone path.
7. Direct the needle into the area of interest for specimen.
8. After extraction of the biopsy sample is completed, gently remove the probe from the
body. To exit Biopsy menu: press <Esc>; or, navigate the cursor onto the Other menu.
9. Disassemble the items and properly dispose of these items as required.
Fail to match the guidezone displayed to the guide may cause the
DANGER: needle to track a path outside the zone.
It is extremely important that when using the adjustable angle
biopsy guides, the angle displayed on the screen matches the
angle set on the guide, otherwise the needle will not follow the
displayed guidezone which could result in repeated biopsies or
patient injury.

12.2.2 Needle-guided Brackets

A needle-guided bracket is available for purchase as an optional accessory; it is used in
combination with this transducer. Part of the probes have matched needle-guided bracket and
needles. To order needle-guided brackets, contact MINDRAY Customer Service Department
or sales representative.
For biopsy or treatment, ultrasound-guided biopsy procedures can be performed using this
transducer in combination with a needle-guided bracket (optional accessory) and a biopsy
needle (provided by the user).

Name of Parts
This section describes the parts and corresponding functions of each needle-guided bracket.

Probes and Biopsy 12-13

 NGB-001, NGB-002, NGB-003, and NGB-005 (Metal/needle un-detachable)
The structure of plastic needle-guided bracket NGB-001, NGB-002, NGB-003 and NGB-
005 are similar to each other. The following figure shows the structure with NGB-001 as
an example.
Clamping knob of
the needle guide
Needle guide

Needle guide
hole

Clamp
Locating pit
Needle guide rack
Locating
groove
Grip knob

Needle-guided
bracket

Transducer

 NGB-003 (Metal/needle detachable)

No. Name Description

Clamp of needle- Used for installing the needle-guided bracket on the
<1>
guided bracket transducer
Groove of the
<2> needle-guided Matches with the tab of the transducer
bracket
<3> Angle adjusting base There are 3 types of angles available to be adjusted

12-14 Probes and Biopsy

 No. Name Description
Angle shift sign
<4> Matched with the biopsy angle (11°, 23°)
(11°, 23°)
<5> Angle pinch nut Used for fixing the angle lock at a chosen angle
Used for determining the angle of the biopsy; different
<6> Angle block
specifications of blocks can be used
Used for installing biopsy needle; there are five
<7> Guiding block
specifications of guiding blocks for different biopsy needles
Specification of
<8> Matched with the corresponding biopsy needle (14G)
guiding block (14G)
<9> Needle guide hole Used for installing the biopsy needle
Pinch nut of needle- Used for locking the needle-guided bracket and the
<10>
guided bracket transducer
 NGB-004
Locking nut

Needle guide
Retaining clamp
Locating bulge

Transducer
Locating groove

 NGB-016

No Name Description
Clamp of needle-guided Used for installing the needle-guided bracket on the
<1>
bracket transducer.
Groove of the needle-
<2> Matches with the tab of the transducer.
guided bracket
<3> Angle adjusting base There are 3 types of angles available to be adjusted.
Angle shift sign (30°, 40°, Matches with the biopsy angle
<4>
50°) (30°, 40°, 50°).

Probes and Biopsy 12-15

 No Name Description
<5> Angle pinch nut Used for fixing the angle lock at a chosen angle.
Determines the angle of the biopsy; different
<6> Angle block
specifications of blocks can be used.
Used for installing the needles of different specifications,
<7> Guiding block
5 types of needles are available.
Specification of guiding
<8> Matched with the corresponding biopsy needle (14G).
block (14G)
Guiding hole of biopsy
<9> Used for installing the needles.
needle
Pinch nut of needle- Used for locking the needle-guided bracket and the
<10>
guided bracket transducer.

12.2.3 Needle-guided Bracket Inspection and Installation

Inspection of the Needle-guided Bracket
Be sure to perform inspections before and after use of the needle-guided bracket. If an
abnormality is found on the needle-guided bracket, immediately stop using it and contact
MINDRAY Customer Service Department or sales representative.
1. Sterilize the needle-guided bracket before and after use.
2. Confirm that the needle-guided bracket is free of damage, deformation, stripping,
malfunction, loose or missing parts.
3. Confirm that the needle-guided bracket is securely mounted in the correct position.

Installing the Needle-guided Bracket

 NGB-001, NGB-002, NGB-003 and NGB-005 metal/needle un-detachable needle-guided
bracket (taking NGB-001 as example)
(1) Put on the sterile transducer sheath.
(2) Inosculate the locating groove on the clamp with the two raised edges on the
transducer head and aligning the locating pit of the clamp to the convex point on the
transducer head.
(3) Turn the grip knob at the tail of the needle-guided bracket tightly.

 NGB-001
1. Put on the sterile transducer sheath.
2. Hold the transducer by one hand, select the proper needle-guided bracket, and hold
it with the other hand. Match the groove of the bracket with the tab of the transducer.
Amount the bracket onto the transducer.

3. Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided
bracket is properly installed on the transducer.

12-16 Probes and Biopsy

 4. Adjust the dial scale to the required needle type shift, and then screw the needle
fixing nut to lock the dial scale.(To adjust the dial scale you have to loose the needle
fixing nut first.)
5. Pull the lock pin and close the V-shaped cover to fix the lock pin in the groove of the
needle type adjusting base, so as to install the needle into the guiding hole.

 NGB-003 metal/needle detachable needle-guided bracket

(1) Put on the transducer sheath.
(2) Select a proper needle-guided bracket, and match the groove with the tab of the
transducer respectively. Mount the bracket onto the transducer.

(3) Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided
bracket is properly installed on the transducer.
(4) Select a proper guiding block and push it into the groove above the angle block.

(5) Screw the nut of the block to secure the block.

(6) Insert a biopsy needle with the same specification as that of the guiding block into the
hole of the guiding block.

 NGB-004
1. Put on the sterile probe sheath.

Probes and Biopsy 12-17

2. Open the retaining clamp, align the needle-guided bracket with the transducer to locate
the locating bulge on the needle guide to the locating grooves on the transducer, and
then turn the retaining clamp to match it with the transducer.

3. When the retaining clamp is turned to the right position, the locking nut will lock the
retaining clamp and the needle-guided bracket is then mounted to the right position.

 NGB-016
1. Put on the sterile transducer sheath.
2. Select a proper needle-guided bracket, and match the groove with the tab of the
transducer. Mount the bracket onto the transducer.

3. Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided
bracket is properly installed on the transducer.
4. Select a proper guiding block and push it into the groove above the angle block, and
clamp it tightly.

5. Screw the nut of the block to secure the block.

12-18 Probes and Biopsy

6. Insert a biopsy needle with the same specification as that of the guiding block into the
hole of the guiding block.

Ensure that all guide parts are seated properly prior to performing
CAUTION: a biopsy.

12.2.4 Biopsy Menu

Press <Biopsy> to show the biopsy menu.

 Select biopsy bracket angle

If the needle-guided bracket supports more than one biopsy angle, you can select the
angle from the drop-down list.
 Select Dot size
Move the cursor onto [Dot Size], press <Set> to select the dot size among Small, Medium
and Big.
Tips:
 The guide line is a dot line which consists of two kinds of dots, the distance between
two dots is depth dependent. Move the cursor onto the big dot, a numeral, which
represents the biopsy depth, is displayed.
 The biopsy guidezone adjusts along with image adjustments, such as image
inversion/rotations, zoom and depth changes.
 When the imaging depth and area are changed, the guide line will be adjusted.

 Display or hide the guide line

Set [Biopsy Kit] on the menu to “Off” to hide the guide line.
Or, press <Biopsy> on the control panel to display or hide the guide line.
 In B mode image menu, you can also display, hide or select the needle-guide bracket via
[Biopsy Kit] item.

12.2.5 iNeedle (Needle Visualization Enhancement )

In the course of biopsy, the metal needle attached to the probe is punctured into the tissue
with a certain angle; because of the needle acoustic impedance, the ultrasonic beam cannot

Probes and Biopsy 12-19

penetrate the metal needle, a reflecting boundary is formed. As in Figure 1, if the deflection
angle is very large, the needle display is not clear.
In the condition of deflected ultrasonic transmission, the beam direction is perpendicular to
the needle direction, and the reflection direction will be the same with the needle, as shown in
Figure 2, when the needle display in the ultrasound image is very clear. The system provides
an additional deflection transmission that is approximately perpendicular to the metal needle,
as the normal transmission (perpendicular to the transducer surface) is contained as well. And
the deflection angel can be chosen by users.
iNeedle is an option.

Figure 1 Figure 2

To enter/exit iNeedle
 To enter iNeedle
Click [iNeedle] item in B page on the screen.
Or, you can assign a user-defined key for entering iNeedle.
 Open iNeedle in Biopsy status
1. Perform scanning and locate the target, press <Biopsy> to enter the screen.
2. Click [iNeedle] to enter the status; available adjusting parameters are displayed on the
menu.
 To exit iNeedle
Press the user-defined key or click [iNeedle] to exit the status and enter B mode.

Needle Steer
Description This function adjusts the biopsy needle angle via changing the steer angle of
the scan line. The iNeedle affecting region changes correspondingly.
Operation Click [Needle Steer] item on the screen.

B/iNeedle
Description This function is used to display B image and iNeedle image synchronously.
Operation To turn on or off the function, click [B/iNeedle] on the screen.
Tips: iZoom (full-screen magnification) is available on iNeedle status.

12-20 Probes and Biopsy

12.2.6 Verify Biopsy Guide Line
Prior to each biopsy procedure, be sure to verify the guide
WARNING: 1.
line.
If the needle is not consistent with the guide line, DO NOT
2.
perform the biopsy procedure.

NOTE: 1. You can perform guide line verification on a single live B image only, and
all biopsy-irrelevant operations are forbidden.

2. For bi-planar probe applied biopsy, the verification is performed on the first
guide line, the other guide lines can move together with the first one in
parallel.
1. Confirm that the needle-guided bracket has been installed securely in the correct position.
2. Prepare a container filled with sterile water.
3. Place the head of the transducer in the sterile water, and get a biopsy needle into the
needle guide.
4. When the biopsy needle appears on the image, please adjust the parameters of the
menu on the screen to make the biopsy needle is displayed at almost the same position
as the selected needle mark.

 Adjust guide line position

Move the cursor onto [Position], press <Set> key to move it linearly, or press and
rotate the multifunctional-knob. This is operative when there is only one guide line
displayed.
 Adjust angle
Move the cursor onto [Angle], press <Set> key to change the guide line angle, or
press and rotate the multifunctional-knob. This is operative when there is only one
guide line displayed.
 Save verified settings
After the position and angle of the guide line are adjusted, click [Save], and the
system will save the current settings of the guide line. When enter biopsy again, the
displayed Position and Angle are the verified value.
 Restore the factory default settings
Click [Load Factory], and the position and angle of the guide line will be restored to
the factory default settings.
 Exit the biopsy verify status
Click [Exit], and the system will exit the verification status of the guide line.

Probes and Biopsy 12-21

12.2.7 Removing the Needle-guided Bracket
 NGB-001/ NGB-002/ NGB-003/ NGB-005 metal/needle un-detachable needle-guided
bracket:
While holding the transducer and the needle-guided bracket, open the Grip knob of the
needle-guided bracket.

 NGB-001 Metal-needle detachable

1. Pull the lock pin and open up the V-shaped cover to expose the needle.

2. Separate the bracket and the transducer from the needle.

3. Screw the pinch nut to release the needle-guided bracket.

4. Separate the bracket and the transducer.

 NGB-003
Metal/needle detachable needle-guided bracket:
(1) Screw the nut of the guiding block and remove the guiding block slightly along the
direction of the needle’s tail.

(2) Separate the residual part of the needle-guide bracket and the transducer from the
needle.

12-22 Probes and Biopsy

 (3) Screw the pinch nut of the bracket, and remove the needle-guided bracket from the
transducer.

 NGB-004
Hold the transducer in the left hand, unscrew the locking nut with the right hand to open
the retaining clamp, and then raise the needle-guided bracket to separate the locating
bulge from the locating grooves.

 NGB-016
1. Screw the nut of the guiding block and remove the guiding block slightly along the
direction of the needle’s tail.

2. Separate the residual part of the needle-guide bracket and the transducer from the
needle.
3. Screw the pinch nut of the bracket, and remove the needle-guided bracket from the
transducer.

4. Separate the transducer and the needle-guided bracket.

12.2.8 Clean and Sterilizethe Needle-guided Bracket

Cleaning
1. Wear sterile gloves to prevent infection.
2. Or, wash with clean water or soapy water to remove all the foreign matters, or, wipe the
bracket with a soft ethyl carbamate sponge.
3. Wipe off the water on the needle-guided bracket using sterilecloth or gauze after washing
it.
Please follow the instructions in the manual for cleaning.

Sterilization
1. Wear sterile gloves to prevent infection.
2. Clean the needle-guided bracket before sterilizing it. MINDRAY recommends the
following solution or sterilizing system to sterilize the needle-guided bracket.
3. Follow local regulations when selecting and using the sterilant.

Probes and Biopsy 12-23

 Glutaraldehyde-based sterilant:
Chemical
Trade name Procedures
name
Cidex Please refer to the instructions provided by the
Glutaraldehyde Activated manufacturer of the solution for details.
(2.2-2.7%) Glutaraldehyde Soak the transducer into the activated solution for 10
Solution hours (20-25℃)

 Hydrogen Peroxide and Peroxyacetic Acid -based sterilant:

Trade Name Chemical Name Procedures
Minncare® Cold 22% Hydrogen Dilute the sterilant with dsterilized purified
Sterilant Peroxide water (1:20).
4.5% Peroxyacetic Acid Immersed time: 11 hours.
Temperature: 20℃-25℃.
Please refer to the instructions provided by
the manufacturer of the solution for details.

Refer to the instructions provided by the chemical manufacturer concerning

concentration of the solution, and method of disinfections and dilution. Note that the
glutaraldehyde disinfectant solution needs an activating solution.
 Rinse the needle-guided bracket thoroughly with sterile water to remove all chemical
residues on it.
 Wipe off the water on the needle-guided bracket with sterile cloth or gauze after
rinsing it.
 STERRAD 100S low-temperature hydrogen peroxide gas plasma sterilization system
Chemical name Trade name Procedures
Hydrogen
Hydrogen Please refer to the instructions provided by the
peroxide gas
peroxide vapor producer of the solution for details.
plasma
 Refer to the instruction of STERRAD 100S sterilizing system provided by the
manufacturer for operation instructions and cautions.
 The STERRAD 100S low-temperature hydrogen peroxide gas plasma sterilization
system is available for metal needle-guided brackets.
 High-pressure steam sterilization (only applicable for metal guided-bracket)
Autoclaving (moist heat) 121C for 20 minutes.
NOTE: The high-pressure steam/ immersion sterilization do not affect the bracket duration
life, and the duration life is affected by the daily application of the bracket. Please
check the appearance of the bracket before using.

12-24 Probes and Biopsy

12.2.9 Storage and Transportation
 Don’t use the carrying case for storing the needle-guided bracket. If the carrying case is
used for storage, it may become a source of infection.
 Between examinations, keep the needle-guided bracket in a sterile environment.
 When the needle-guided bracket is sent to your MINDRAY representative for repair, be
sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.
 Sterilize the carrying case as necessary.
 Store or transport the needle-guided bracket under the following ambient conditions:
 Ambient temperature: -20°C ~ 55°C
 Relative humidity: 30% to 95% (no condensation)

12.2.10 Disposal
Be sure to dispose the needle-guided bracket only after sterilizing it.
Contact your MINDRAY representative when disposing of this device.

12.3 Lithotrity
“Lithotrity” helps to locate the focus point of lithotrity wave during lithotrity treatment. By
watching the procedure of lithotrity in real-time and adjusting the intension and frequency of
the lithotrity wave, the harm to the patients can be reduced to the least.
 To enter lithotrity mode: Click [Lithotrity] in the image menuto turn on the lithotrity.
 In lithotrity mode:
 The lithotrity line is a vertical dotted line located in the middle of the screen, the
position and direction of which cannot be changed.
 The lithotrity mark is a “×” mark located on the lithotrity line which can be moved up
and down along the lithotrity line by rolling the track ball.
 The depth of the mark is displayed in the image parameter area of the screen.

Probes and Biopsy 12-25

13 Battery
1. DO NOT install or detach the battery ad arbitrium
WARNING: The batteries have protective mechanism and circuit.
DO NOT disassemble or alter the battery.
2. DO NOT short-circuit the batteries by directly
connecting the negative terminals with metal objects.
3. DO NOT heat the battery or discard it in a fire.
4. Keep the batteries away from fire and other heat
sources.
5. DO NOT immerse the batteries in water or allow them
to get wet.
6. DO NOT charge the batteries near a heat source or in
direct sunlight.
7. DO NOT pierce the batteries with a sharp object, hit or
step on them.
8. DO NOT use the batteries mixed with other battery
models.
9. DO NOT put the batteries into a microwave oven or
pressurized container.
10. If the batteries emit an odor or heat, are deformed or
discolored, or in a way appear abnormal during use,
charging or storage, immediately remove them and
stop using them.

13.1 Overview
The battery charges when the system is connected to the AC power supply.
 Generally, if the system is turned off, a completely discharged battery will fully charge
in less than 3 hours.

NOTE: 1. It is recommended to charge the batteries when the system is turned off,
thus you can quickly charge the battery and save time.
2. Power off the system if you will not use the system for a long period of time
(including storage/ transportation condition), and you should not allow the
system in standby status, otherwise the batteries will be out of power and
permanently damaged.
When the external power supply is not connected, a lithium-ion battery will provide the power.
The model of the chargeable lithium-ion battery (hereinafter called battery for short) is
LI34I002A.

NOTE: Only use the specified batteries.

Battery 13-1
13.2 Precautions
1. Before using the battery, carefully read the description in the label on the surface of the
battery.
2. When you use the battery at the first time and find that it is dirty or emit an odor, do not
use it.
3. Do not expose the battery to heat sources or high pressure.
4. Do not leave the battery in direct sunlight.
5. Store the battery out of the reach of children. Store the battery out of the reach of children.
6. The battery is designed to be charged only in this system; charge the battery only when
the ambient temperature is between 0 and 40 ℃.
7. When the battery is out of power, please charge it immediately.
8. When the battery will not be used for 10 days or over, take it out of the system and store it
with caution. DO NOT wrap it with conductive material; store it in shady, cool and dry
place.
9. Do not knock the battery.

13.3 Installing and Removing the Batteries

Turn off the system and disconnect the adapter from the
WARNING: main unit before installing or removing batteries. DO NOT
install or remove batteries when the system is turned on or
the system is turned off but the adapter is connected with
the system.
The battery is put in the battery bays at the back side of the system. You can install or remove
it when the system is turned off and the power cord is disconnected from the main unit.
To install the battery:
1. Turn off the unit and detach the power cord from the main unit.
2. You can see a battery bay at the back of the system. (Note that the battery shall be put in
correct direction). Put the battery into the bay and push to the right side until it’s tightly
locked.
3. Close the battery cover.

To remove the battery:

1. Turn off the unit and detach the power cord from the main unit.
2. Open the battery cover.
3. Push the battery to left until it’s released.
4. Take out the battery from the bay.

13.4 Battery Status Indicator

The battery status indicator is located in the lower right corner of the screen, indicating the
battery capacity.

: indicates the battery capacity is empty.

: indicates the battery capacity is full.

When the power capacity is not enough, the system will pop up a prompt:

13-2 Battery
Warning! Battery is out of power! Please connect to power supply or system will be shut down
in one minute. Connect the power supply to afford normal work.

13.5 One Full Discharge / Charge Cycle

If the battery has not been used for over 2 months, you are recommended to perform one full
discharge / charge cycle. It is also recommended that the battery is stored in the shady and
cool area with FCC (full current capacity).
 One Full Discharge / Charge Cycle:
1. Full discharge of the battery to let the system automatically shut down.
2. Charge the system to 100% FCC (full current capacity).
3. Discharge of the system for complete shutdown.

13.6 Checking Battery Performance

The battery performance may be degraded over time, so you need to check the battery
performance periodically. The checking procedures are shown as follows:
1. Stop the ultrasound exam.
2. Connect the system to the AC power supply to charge the batteries until current capacity
is full.
3. Disconnect the system from the AC power supply to power the system by the batteries
until the system automatically shuts down.
4. The powering time of the batteries indicates the battery performance.
If the powering time of the battery is much shorter than that specified in the Specification
Manual, you may replace the battery or contact the service personnel.

13.7 Battery Disposal

You need to dispose of the battery when it is damages, severely degraded or used for 3 years.
NOTE: You should observe the local regulations when disposing of the battery.

Battery 13-3
14 Acoustic Output
This section of the operator’s manual applies to the overall system including the main unit,
probes, accessories and peripherals. This section contains important safety information for
operators of the device, pertaining to acoustic output and how to control patient exposure
through use of the ALARA (as low as reasonably achievable) principle. Also this section
contains information regarding the acoustic output testing and the real-time output display.
Read this information carefully before using the system.

14.1 Concerns with Bioeffects

Diagnostic ultrasound is recognized as being safe. In fact, there have been no reports of
injuries to patients caused by diagnostic ultrasound.
It cannot be stated categorically that ultrasound is 100% safe. Studies have revealed that
ultrasound with extremely high intensity is harmful to body tissues.
Diagnostic ultrasound technology has made a great leap forward during the last several years.
This rapid advance has generated concerns about the potential risk of bioeffects when new
applications or diagnostic technologies become available.

14.2 Prudent Use Statement

Although there are no confirmed biological effects on patients caused by exposures from
present diagnostic ultrasound instruments, the possibility exists that such biological effects
may be identified in the future. Thus ultrasound should be used in a prudent manner to
provide medical benefit to the patient. High exposure levels and long exposure times should
be avoided while acquiring necessary clinical information.

14.3 ALARA Principle (As Low As

Reasonably Achievable)
It is required to practice ALARA when using ultrasound energy. Practicing ALARA ensures that
the total energy level is controlled below a low enough level at which bioeffects are not
generated while diagnostic information is being accumulated. The total energy is controlled by
output intensity and total radiation time. The output intensity necessary for examinations
differs depending on the patient and the clinical case.
Not all examinations can be performed with an extremely low level of acoustic energy.
Controlling the acoustic level at an extremely low level leads to low-quality images or
insufficient Doppler signals, adversely affecting the reliability of the diagnosis. However,
increasing the acoustic power more than necessary does not always contribute to an increase
in quality of information required for diagnosis, rather increasing the risk of generating
bioeffects.
Users must take responsibility for the safety of patients and utilize ultrasound deliberately.
Deliberate use of ultrasound means that output power of ultrasound must be selected based
on ALARA.
Additional information regarding the concept of ALARA and the possible bioeffects of Ultrasound is
available in a document from the AIUM (American Institute of Ultrasound Medicine) title “Medical
Ultrasound Safety”.

Acoustic Output 14-1

14.4 MI/TI Explanation
14.4.1 Basic Knowledge of MI and TI
The relationship of various ultrasound output parameters (frequency, acoustic pressure and
intensity, etc) to bioeffects is not fully understood presently. It is recognized that two
fundamental mechanisms may induce bioeffects. One is a thermal bioeffect with tissue
absorption of ultrasound, and another one is a mechanical bioeffect based on cavitations.
Thermal Index (TI) gives the relative index of temperature increase by thermal bioeffect, and
Mechanical Index (MI) gives the relative index of mechanical bioeffect. TI and MI indices
reflect instantaneous output conditions, so they DO NOT consider the cumulative effects of
the total examination time.
 MI (Mechanical Index):
The mechanical bioeffects are the result of compression and decompression of insonated
tissues with the formation of micro bubbles that may be referred to as cavitations.
MI is an index that shows the possibility of the cavitations generation based on acoustic
pressure, and the value in which the peak-rarefactional acoustic pressure is divided by the
square root of the frequency. Therefore MI value becomes smaller when the frequency is
higher or the peak-rarefactional acoustic pressure is lower, it becomes difficult to generate the
cavitations.
MI = Pr, 

fawf  CMI

Wherein, CMI = 1 (MPa / MHz )

For the frequency 1 MHz and the peak-rarefactional acoustic pressure 1 MPa, MI becomes 1.
It is possible to think MI to be one threshold of the cavitations generation. Especially, it is
important to keep MI value to be low when both gases and the soft tissues exist together, for
such as lung exposure in cardiac scanning and bowel gas in abdominal scanning.
 TI (Thermal Index):
TI is determined by the ratio of the total acoustic power to the acoustic power required to
raise the tissue temperature by 1 degree C. In addition, because the temperature rises is
greatly different according to tissue structures, TI is divided three kinds: TIS (Soft-tissue
Thermal Index), TIB (Bone Thermal Index) and TIC (Cranial-bone Thermal Index).
 TIS: Thermal index related to soft tissues, such as abdominal and cardiac
applications.
 TIB: Thermal index for applications, such as fetal (second and third trimester) or
neonatal cephalic (through the fontanel), in which the ultrasound beam passes
through soft tissue and a focal region is in the immediate vicinity of bone.
 TIC: Thermal index for applications, such as pediatric and adult cranial applications,
in which the ultrasound beam passes through bone near the beam entrance into the
body.
WFUMB (World Federation for Ultrasound in Medicine and Biology) guidelines: state that
temperature increase of 4 degree C for 5 min or more should be considered as
potentially hazardous to embryonic and fetal tissue.
The smaller the MI/TI values, the lower the bioeffects.

14.4.2 MI/TI Display

TI and MI values are displayed in the upper part of the screen in real-time. The operator
should monitor these index values during examinations and ensure that exposure time and
output values are maintained at the minimum amounts needed for effective diagnosis.

14-2 Acoustic Output

NOTE: If there is a value of MI or TI exceeds 1.0, you must be careful to practice the
ALARA principle.
The display precision is 0.1.
Display accuracy of MI is ±28.5%, TI is±38.7%

14.5 Acoustic Power Setting

 Acoustic power adjustment
Click [A. power] in the menu to adjust the acoustic power percentage, and the value is
displayed on the screen. The greater the acoustic power percentage, the greater the current
acoustic output.
When the image is frozen, the system stops transmitting acoustic power.
 Default setting of acoustic power
Selection of diagnostic applications is the most important factor for controlling ultrasound
output.
The permissible level of intensity of ultrasound differs depending on the region of interest. For
fetal examinations, in particular, much care must be exercised.
In this system, imaging setups can be created using the ultrasound output set by you. At this
time, the default function is disabled. It is the user’s responsibility for any change to the
default settings.
Default choices

Initial power 7% to 100%*

* Definition of 100%:
The maximum acoustic power of a transducer determined by the increase in transducer
surface temperature in the selected mode and the acoustic power restrictions specified
by the FDA.
NOTE: This system automatically returns to the settings whenever changes are made to
the values (when you turn on the power, switch between probes, press [End Exam],
or select [Save] in the Setup menu). In the factory default settings, the Acoustic
Output is limited below 100%. Following the ALARA restriction, you are allowed to
increase the acoustic power under FDA 510(k) Guidance-Track3 limits and to set it
in the image preset screen.
The acoustic output of the system has been measured and calculated in accordance with
IEC60601-2-37: 2005, FDA 510(K) GUIDANCE, Acoustic Output Measurement Standard for
Diagnostic Ultrasound Equipment (NEMA UD-2 2004) and the “Standard for Real-Time
Display of Thermal and Mechanical Indices on Diagnostic Ultrasound Equipment (AIUM and
NEMA UD-3 2004).

14.6 Acoustic Power Control

The qualified operator may use the system controls to limit the ultrasound output and to adjust
the quality of the images. There are three categories of system controls relative to output.
They are controls that have direct effect on the output, controls that indirectly control output
and controls that are receiver controls.
 Direct Controls
It is possible to control, if necessary, the acoustic output with the menu control. In this case,
the maximum value of the acoustic output never exceeds an MI of 1.9, TI of 6 and an I SPTA.3 of
720 mW/cm 2 in any mode of operation.

Acoustic Output 14-3

 Indirect Controls
The controls that indirectly affect output are many imaging parameters. These are operating
modes, frequency, focal point positions, image depth and pulse repetition frequency (PRF).
The operating mode determines whether the ultrasound beam is scanning or non-scanning.
Thermal bioeffect is closely connected to M mode.
Acoustic attenuation of tissue is directly related to transducer frequency.
The focal point is related to active aperture of transducer and beam width.
For the higher PRF (pulse repetition frequency), the more output pulses occur over a period
of time.
 Receiver Controls
The receiver controls (for example, gain, dynamic range, and image post-processing, etc.) do
not affect output. These controls should be used, when possible, to improve the image quality
before using controls that directly or indirectly affect output.

14.7 Acoustic Output

14.7.1 Derated Ultrasonic Output Parameters
In order to determine the relevant Ultrasonic Output Parameters, a method is used which
allows for the comparison of ultrasound systems which operate at different frequencies and
are focused at different depths. This approach, called "derating" or "attenuating", adjusts the
acoustic output as measured in a water tank to account for the effect of ultrasound
propagation through tissue. By convention, a specific average intensity attenuation value is
used, which corresponds to a loss of 0.3 dB/cm/MHz. That is, the intensity of ultrasound will
be reduced by 0.3 dB/MHz for every centimeter of travel from the transducer. This can be
expressed by the following equation:

I atten  I water 10(－0.3 / 10  f c  z )

Where Iatten is the attenuated intensity, I water is the intensity measured in a water tank (at
distance z), fc is the center frequency of the ultrasound wave (as measured in water), and z is
the distance from the transducer. The equation for attenuating pressure values is similar
except that the attenuation coefficient is 0.15 dB/cm/MHz, or one-half the intensity coefficient.
The intensity coefficient is double the pressure coefficient because intensity is proportional to
the square of pressure.
Although the attenuation coefficient chosen, 0.3 dB/cm/MHz, is significantly lower than any
specific solid tissue in the body, this value was chosen to account for fetal examinations. In
early trimester ultrasound fetal examinations, there may be a significant fluid path between
the transducer and the fetus, and the attenuation of fluid is very small. Therefore the
attenuation coefficient was lowered to account for this case.

14.7.2 Limits of Acoustic Output

In accordance with the FDA Track 3 requirements, the derating (or attenuated) approach was
incorporated into the FDA Acoustic Output Limits, as listed below. The maximum acoustic
output level from any transducer in any operating mode is expected to fall below these limits.

FDA Maximum Acoustic Output Limits for Track 3 (Attenuated Values)

Application Ispta.3 (mW/cm2) Isppa.3 (W/cm 2) MI

Regions Or
(except eyes) 720 ≤ 190 ≤ 1.9

14-4 Acoustic Output

14.7.3 Differences between Actual and Displayed MI and
TI
In operation, the system will display to the operator the Acoustic Output Parameters Thermal
Index, TI, or Mechanical Index, MI (or sometimes both parameters simultaneously). These
parameters were developed as general indicators of risk from either thermal or mechanical
action of the ultrasound wave. They serve to indicate to the operator whether a particular
setting of the system increases or decreases the possibility of Thermal or Mechanical effect.
More specifically, they were designed to assist in the implementation of the ALARA principle.
As an operator changes a given system control, the potential effect of the change in output
will be indicated. However, the Thermal Index is not the same as temperature rise in the body,
for several reasons. First of all, in order to provide a single display index to you, a number of
simplifying assumptions had to be made. The biggest assumption was the use of the
attenuating formula described above, which is much lower than the actual value for most
tissues within the body. Scanning through muscle or organ tissue, for example, will produce
much higher attenuation than 0.3 dB/cm/MHz. There were also significant simplifications
made for the thermal properties of tissue. Therefore, scanning through highly perfused tissue,
such as the heart or vasculature, will produce significantly less thermal effect than that
suggested by the Thermal Index.
Similarly, the Mechanical Index was derived to indicate the relative possibility of mechanical
(cavitation) effects. The MI is based on the derated peak-rarefactional pressure and the center
frequency of the ultrasound wave. The actual peak-rarefactional pressure is affected by the
actual attenuation caused by tissue in the path between the transducer and the focal point.
Again, all solid tissues within the body have higher attenuation than the proscribed 0.3
dB/cm/MHz value, and therefore, the actual peak-rarefactional pressure will be lower. Further,
the actual peak-rarefactional pressure will change depending upon the region of the body
being scanned.
For these reasons, the TI and MI displays should only be used to assist the operator in
implementing ALARA at the time of the patient examination.

14.8 Measurement Uncertainty

Ispta 28.5%
Isppa 28.5%
Center frequency (fc) 2%
Total power (W) 28.5%
(5.1% for Scan-mode and Combined-mode)
Peak-rarefactional pressure 14.7%

Acoustic Output 14-5

14.9 References for Acoustic Power and
Safety
1. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993
2. “Medical Ultrasound Safety” issued by AIUM in 1994
3. "Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment, Revision
3" issued by AIUM/NEMA in 2004
4. "Standard for real-time display of thermal and mechanical acoustic output indices on
diagnostic ultrasound equipment, Revision 2" issued by AIUM/NEMA in 2004
5. "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound
Systems and Transducers" issued by FDA in 2008.
6. “Medical electrical equipment – Part 2-37: Particular requirements for the safety of
ultrasonic medical diagnostic and monitoring equipment” issued by IEC in 2005.

14-6 Acoustic Output

15 EMC Guidance and
Manufacturer's Declaration
The system complies with the EMC standard IEC 60601-1-2: 2014.
Intended Environments: HOME HEALTHCARE ENVIRONMENT(except for near active HF
SURGICAL EQUIPMENT and the RF shielded room of an ME SYSTEM for magnetic
resonance imaging).

WARNING: 1. The use of unapproved accessories may diminish system

performance.
2. Use of components, accessories, probes, and cables other than
those specified may result in increased emission or decreased
immunity of system.
3. Operation of system, in the case that the patient physiological
signal is lower than the minimum amplitude or value specified in
the product specifications, results may not be obtained (results
can be obtained when the HR is in the range of 30-250 bmp or
when the QRS wave amplitude is between 0.5-5 mV.)
4. Use of this equipment adjacent to or stacked with other
equipment should be avoided because it could result in improper
operation. If such use is necessary, this equipment and the other
equipment should be observed to verify that they are operating
normally.
5. Use of accessories, transducers and cables other than those
specified or provided by the manufacturer of this equipment
could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this equipment and
result in improper operation.
6. Portable RF communications equipment (including peripherals
such as antenna cables and external antennas) should be used
no closer than 30 cm (12 inches) to any part of the
system,including cables specified by the manufacturer.
Otherwise, degradation of the performance of this equipment
could result.

NOTE: 1 The system needs special precautions regarding EMC and needs to be installed
and put into service according to the EMC information provided below.
2 Other devices may interfere with this system even though they meet the
requirements of CISPR.
3 Preventing conducted RF immunity. Due to technological limitations, the
conducted RF immunity level are limited to 3Vrms level, conducted RF
interference above 3Vrms may cause wrong diagnosis and measurements. We
suggest that you position system further from sources of conducted RF noise.
4 Portable and mobile RF communications equipment can affects system. See
tables 1, 2, 3, and 4 below.

EMC Guidance and Manufacturer's Declaration 15-1

If the system is operated within the electromagnetic environment listed in Table 2 and Table 3,
the system will remain safe and will provide the following basic performances:
 Imaging;
 Doppler acoustic spectral displaying;
 Taking measurements;
 Patient information;
 Date/time information.

TABLE 1
GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC EMISSIONS
The system is intended for use in the electromagnetic environment specified below. The
customer or the user of system should assure that it is used in such an environment.
ELECTROMAGNETIC ENVIROMENT－
EMISSIONS TEST COMPLIANCE
GUIDANCE
The system uses RF energy only for its
internal function. Therefore, its RF
RF emissions emissions are very low and are not likely
Group 1
CISPR 11 to cause any interference in nearby
electronic equipment.
RF emissions
Class B
CISPR 11 The system is suitable for use in all
establishments including domestic
Harmonic Emissions
Class A establishments and those directly
IEC 61000-3-2 connected to the public low-voltage
Voltage Fluctuations/ Flicker power supply network that supplies
Emissions Compliance buildings used for domestic purposes
IEC 61000-3-3

15-2 EMC Guidance and Manufacturer's Declaration

TABLE 2
GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY
The system is intended for use in the electromagnetic environment specified below. The
customer or the user of system should assure that it is used in such an environment.
IEC 60601 COMPLIANCE ELECTROMAGNETIC
IMMUNITY TEST
TEST LEVEL LEVEL ENVIRONMENT-GUIDANCE
Electrostatic Floors should be wood,
Discharge(ESD) concrete or ceramic tile. If
±8 kV contact; ±8 kV contact; floors are covered with
IEC 61000-4-2
±15 kV air ±15kV air synthetic material, the
relative humidity should be at
least 30%.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should
Transient / burst supply lines; supply lines; be that of a typical
IEC 61000-4-4 ±1 kV for ±1 kV for commercial or hospital
input/output lines input/output lines environment.
Surge ±1 kV line(s) to
±1 kV line(s) to
Mains power quality should
line(s); be that of a typical
IEC 61000-4-5 line(s);
±2 kV line(s) to commercial or hospital
±2 kV line(s) to earth
earth environment.
Voltage dips, 0 % UT; 0,5 cycle 0 % UT; 0,5 cycle Mains power quality should
Short interruptions At 0°, 45°, 90°, At 0°, 45°, 90°, 135°, be that of a typical
and voltage 135°, 180°, 225°, 180°, 225°, 270°and commercial or hospital
variation on power 270°and 315° 315° environment. If you require
supply input continued operation during
voltage 0 % UT; 1 cycle 0 % UT; 1 cycle power mains interruptions, it
IEC 61000-4-11 70% UT for 25/30 70% UT for 25/30 is recommended that our
cycle cycle product be powered from an
at 0° at 0°
uninterruptible power supply
or a battery.

0 % UT; 250/300 0 % UT; 250/300

cycle cycle

Power frequency Power frequency magnetic

(50/60 HZ) fields should be at levels
magnetic field characteristic of a typical
30 A/m 30 A/m
IEC 61000-4-8 location in a typical
commercial or hospital
environment.
NOTE: UT is the A.C. mains voltage prior to application of the test level.

EMC Guidance and Manufacturer's Declaration 15-3

TABLE 3
GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY
The system is intended for use in the electromagnetic environment specified below. The
customer or the user of system should assure that it is used in such an environment.
IMMUNITY IEC 60601 TEST COMPLIANCE ELECTROMAGNETIC
TEST LEVEL LEVEL ENVIRONMENT-GUIDANCE
Portable and mobile RF
3 Vrms communications equipment should
3 Vrms 0,15 MHz – 80 be used no closer to any part of
0,15 MHz – 80 MHz MHz system, including cables, than the
6 Vrms in ISM and 6 Vrms in ISM recommended separation distance
Conduced RF amateur and amateur calculated from the equation
IEC 61000-4-6 applicable to the frequency of the
radio bands between radio bands
between transmitter. Recommended
0,15 MHz and 80
MHz 0,15 MHz and 80
separation distance
MHz
d = 1.2 x P

d = 1.2 x P 80 MHz to 800 MHz

d = 2.3 x P 800 MHz to 2.7GHz

Radiated RF 10 V/m 10 V/m
IEC 61000-4-3 80MHz - 2.7GHz 80MHz - 2.7GHz Where, P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is
the recommended separation
distance in meters (m).
27 V/m
27 V/m Field strengths from fixed RF
380–390 MHz
Proximity fields transmitters, as determined by an
from RF 28 V/m electromagnetic site survey, should
430–470 MHz, 800– be less than the compliance level in
wireless
960 MHz, 1700–1990 28 V/m each frequency range.
communications MHz, 2400–2570 Interference may occur in the
equipment MHz
vicinity of equipment marked with
IEC 61000-4-3 9 V/m the following symbol:
704–787 MHz, 5100– 9 V/m
5800 MHz

Note 1 At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular
/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast
and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the
location in which system is used exceeds the applicable RF compliance level above,
system should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as reorienting or relocating the
system.
b Over the frequency range 150kHz to 80MHz, field strengths should be less than 3V/m.

15-4 EMC Guidance and Manufacturer's Declaration

TABLE 4
RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE
RF COMMUNICATION DEVICE AND THE SYSTEM
The system is intended for use in an electromagnetic environment in which radiated RF
disturbance are controlled. The customer or the user of system can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communication equipment (transmitters) and system as recommended below,
according to the maximum output power of the communication equipment.
Separation Distance According to Frequency of Transmitter
Rated Maximum
Output power of (m)
Transmitter 150kHz -80MHz 80MHz-800MHz 800MHz-2.7GHz
(W)
d＝1.2√P d＝1.2√P d＝2.3√P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters at a maximum output power not listed above, the recommended
separation distanced in meters (m) can be determined using the equation applicable to
the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
If system image distortion occurs, it may be necessary to position system further from
sources of conducted RF noise or to install external power source filter to minimize RF
noise to an acceptable level.

Note 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

Cable sample
No. Name Cable length (m) Shield or not Remarks
1 Power input 2.5m Not shielded /
2 SIP/SOP ＜3.0m Shielding /
3 ECG cable 4.0m Shielding /
4 Probe Cable ＜3.0m Shielding /
5 Footswitch Cable 2.9m Shielding /

EMC Guidance and Manufacturer's Declaration 15-5

16 System Maintenance
Routine system maintenance shall be carried out by the user. Service maintenance will be
provided by Mindray service engineers while the system is under warranty. System
maintenance after the warranty has expired is the full responsibility of the owner / operator.
1. Only an authorized Mindray service engineer can perform
WARNING: maintenance not specified in this operator’s manual.
2. For the sake of the system performance and safety, you
should perform periodical checks for the system.

16.1 Daily Maintenance

You are responsible for daily maintenance.

16.1.1 Cleaning the System

Before cleaning the system, be sure to turn off the power
WARNING: and disconnect the power cord from the outlet. If you clean
the system while the power is “On”, it may result in electric
shock.
 Cleaning the probe
Please refer to the operator’s manual of the corresponding transducer or “12.1.5 Probes
Cleaning and Disinfection” to perform cleaning and disinfection.
 Cleaning the probe cable
a) Use soft dry cloth to wipe off stains from the probe cable.
b) If it is difficult to clean the stains thoroughly, use soft cloth dipped with mild
detergent, and then let the cable air dry.
 Cleaning the monitor
Using a soft cloth, apply a glass cleaner directly to the cloth and wipe down the monitor to
remove finger marks, dust and smudges. Allow the monitor to air-dry.
NOTE: 1. Do not use hydrocarbon glass cleaner or cleaner for OA (Office Automation)
equipment to clean the monitor. These substances may cause deterioration of
the monitor.
2. Keyboard on the control panel should be cleaned periodically, otherwise, keys
maybe blocked by dirt and buzzer dings, keys don’t work.
 Cleaning the control panel, cover and bracket
Use dry soft cloth to clean the surface of the system. If the system is dirty, moisten the
soft cloth with a mild or neutral detergent and wipe off any stains. Use dry soft cloth to
remove any moisture and allow all hard surfaces to completely air-dry.
 Cleaning the trackball
 Tool: tissue paper or dry cotton cloth
 Method:

System Maintenance 16-1

 The trackball on the control panel is used to move the cursor and plays an importance part in
man-machine communication. As one of the most frequently used parts on the control panel,
it may become ineffective due to dirt that enters into the trackball module.
a) Disassembling the trackball:
Rotate the trackball clamp ring 35 degrees anticlockwise. When the clamping ring lifts,
remove the clamping ring and trackball. You can draw out the ball with the help of adhesive
tape. See the figures below.

Clamp ring

Track ball

Rotate clamp ring 35 degrees anticlockwise Remove clamp ring Draw out the ball
b) Cleaning
Clean the lens slightly using the tissue until there is no foreign matter. Then clean the other
parts and the dust excluder. Make sure to exert force properly when clean the small ball,
otherwise, the small ball may drop down. See the figure below. No system shutdown is
required during the whole clean. Reinstall the ball and clamp ring after the clean is finished.

Lens
Small ball (x3)

Waterspout

When liquid is spray onto the trackball area, most of the liquid can be discharged through the
waterspout, besides, you can dry the leaving water using the tissue or cloth.
c) Installing the trackball
Put back the ball, align the buckle with gap of the front cover, press the clamp ring with both
hands and rotate it 35 degrees clockwise to click the buckle. At this moment, the clamp ring
cannot be moved any further, it indicates that the clamp ring clicks in position. See the figure
below. See figure below.
Before installing Turn 35 degrees Installed
clockwise

Buckle (x2)

16-2 System Maintenance

16.1.2 Checking Transducer
Check the transducer connector for crack every time before use. DO NOT use the transducer
if a crack is inspected. A thoroughly inspection to the transducer including cable and
connector is required every time when you clean the transducer.

16.1.3 Backup of the System Hard Drive

To prevent deterioration or loss of data stored in the system hard drive, create a backup copy
of the hard drive at regular intervals.

16.2 Maintenance Checks by Service

Engineer
The following checks must be performed to ensure and maintain system safety and
performance. Please contact Mindray Customer Service Department or sales representative
to schedule and carry out these checks.
Check Category Check Item
Interior of the system
Cleaning
Peripherals
Ground leakage current
Enclosure leakage current
Patient leakage current
Electric safety
Patient leakage current (110% supply voltage on
applied part)
Patient auxiliary leakage current
Monitor mounting mechanism
Control panel
Mechanical safety Mounting mechanism for the peripheral devices
Check other mechanical structures
Check the transducer appearance
Images in each mode
Image recording
Image recording by using the standard probe

16.3 Consumables and Periodic Part

Replacement
This system contains some consumables and parts requiring periodic replacement.
Before replacing them, please contact Mindray Customer Service Department or sales
representative for instructions.

16.4 Troubleshooting
To ensure proper system operation and function, it is recommended that a maintenance and
inspection plan be established to periodically check the safety of the system. If any system
malfunction is experienced, contact Mindray Customer Service Department or sales
representative.
If any persistent system malfunction is experienced, e.g. an onscreen error message, blank
imaging screen, absent menus, please refer to the following table below. If the failure cannot
be eliminated, please contact Mindray Customer Service Department or sales representative.

System Maintenance 16-3

 1. Do not spill water or other liquid into the system while you
CAUTION: perform the cleaning. Otherwise it may result in
malfunction or electric shock.
2. When you want to clean probe connectors and TGC
sliders, contact Mindray Customer Service Department or
sales representative. Cleaning it yourself may result in
malfunction or degradation of the performance.
 Troubleshooting Table

No. Failure Cause Measure

After the  Abnormal power system  Verify that the plug has not
1
power supply or incorrect connection become loosened or
is turned on, of the power cord. dislodged from the back of
the power the system.
indicator does
not light on.
2 When the  The interval between  Turn off the system and
power turnoff and restart is too wait a minimum time of 1
indicator of the short – wait a minimum minute, then restart the
monitor is on time of 20 seconds. system.
and image is  The monitor brightness  Adjust the Contrast
blank. or contrast may be
improperly set.
The monitor  The transmission power,  Adjust the transmission
3
displays the overall gain or TGC power, gain or TGC control.
characters but controls are improperly  Ensure proper probe
no images. set. connection.
 Verify that a probe is  Unfreeze the image.
connected and / or fully
connected.
 The system is in the
frozen status.
The image  The exam mode is not  Select an appropriate exam
4
quality has correct. type.
degraded
 The settings of the  Adjust the settings of the
image post processing image via post processing
are not correct. or reset the post processing
 The image presets are to the default values.
inappropriate  Reset the factory default
setups.
The button is  Button blocked by too  Check the control panel for
5
responseless much dirt the button being blocked
with the and press it several times
system to release it.
buzzing
 Clean the button

16-4 System Maintenance

Appendix A Electrical Safety
Inspection
The following electrical safety tests are recommended as part of a comprehensive preventive
maintenance program. They are a proven means of detecting abnormalities that, if undetected, could
prove dangerous to either the patient or the operator. Additional tests may be required according to
local regulations.

All tests can be performed using commercially available safety analyzer test equipment. These
procedures assume the use of a 601PROXL International Safety Analyzer or equivalent safety analyzer.
Other popular testers complying with IEC 60601-1 used in Europe such as Fluke, Metron, or Gerb may
require modifications to the procedure. Follow the instructions of the analyzer manufacturer.

The electrical safety inspection should be periodically performed every two years The safety
analyzer also proves to be an excellent troubleshooting tool to detect abnormalities of line voltage and
grounding, as well as total current loads.

A.1 Power Cord Plug

A.1.1 The Power Plug
Test Item Acceptance Criteria
The power plug pins No broken or bent pin. No discolored pins.
The plug body No physical damage to the plug body.
The power plug No physical damage to the strain relief. No
The strain relief
plug warmth for device in use.
The power plug No loose connections.
No physical damage to the cord. No
deterioration to the cord.
For devices with detachable power cords,
The power cord
inspect the connection at the device.
For devices with non-detachable power
cords, inspect the strain relief at the device.

Electrical Safety Inspection A-1

A.2 Device Enclosure and Accessories
A.2.1 Visual Inspection
Test Item Acceptance Criteria
No physical damage to the enclosure and
accessories.
No physical damage to meters, switches,
connectors, etc.
The enclosure and accessories
No residue of fluid spillage (e.g., water,
coffee, chemicals, etc.).
No loose or missing parts (e.g., knobs,
dials, terminals, etc.).

A.2.2 Contextual Inspection

Test Item Acceptance Criteria
No unusual noises (e.g., a rattle inside the
case).
The enclosure and accessories No unusual smells (e.g., burning or smoky
smells, particularly from ventilation holes).
No taped notes that may suggest device
deficiencies or operator concerns.

A.3 Device Labeling

Check the labels provided by the manufacturer or the healthcare facility are present and legible.
 Main unit label
 Integrated warning labels

A.4 Protective Earth Resistance

a. Plug the probes of the analyzer into the device’s protective earth terminal and protective earth
terminal of the AC power cord.
b. Test the earth resistance with a current of 25 A.
c. Verify the resistance is less than limits.
 LIMITS
ALL COUNTRIES R = 0.2 Ω Maximum

A.5 Earth Leakage Test

Run an Earth Leakage test on the device being tested before performing any other leakage tests.

The following outlet conditions apply when performing the Earth Leakage test.
 normal polarity( Normal Condition),
 reverse polarity( Normal Condition),

A-2 Electrical Safety Inspection

  normal polarity with open neutral(Single Fault Condition),
 reverse polarity with open neutral(Single Fault Condition)

 LIMITS
For UL60601-1,
 300 μA in Normal Condition
 1000 μA in Single Fault Condition

For IEC60601-1,
 500 μA in Normal Condition
 1000 μA in Single Fault Condition

A.6 Enclosure Leakage Test

The following outlet conditions apply when performing the Enclosure Leakage test.
 normal polarity( Normal Condition);
 reverse polarity( Normal Condition),
 normal polarity with open neutral(Single Fault Condition);
 reverse polarity with open neutral(Single Fault Condition).
 normal polarity with open earth(Single Fault Condition);
 reverse polarity with open earth(Single Fault Condition).

 LIMITS
For UL60601-1,
 100μA in Normal Condition
 300 μA in Single Fault Condition

For IEC60601-1:
 100μA in Normal Condition
 500 μA in Single Fault Condition

A.7 Patient Leakage Current

Patient leakage currents are measured between a selected applied part and mains earth. All
measurements have a true RMS only

The following outlet conditions apply when performing the Patient Leakage Current test.
 normal polarity( Normal Condition);
 reverse polarity( Normal Condition),
 normal polarity with open neutral(Single Fault Condition);
 reverse polarity with open neutral(Single Fault Condition).
 normal polarity with open earth(Single Fault Condition);
 reverse polarity with open earth(Single Fault Condition).

Electrical Safety Inspection A-3

 LIMITS

For BF applied parts

 100μA in Normal Condition
 500μA in Single Fault Condition

A.8 Mains on Applied Part Leakage

The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a
limiting resistance, to selected applied part terminals. Current measurements are then taken between
the selected applied part and earth. Measurements are taken with the test voltage (110% of mains) to
applied parts in the normal and reverse polarity conditions.

The following outlet conditions apply when performing the Mains on Applied Part test.
 Normal Polarity;
 Reversed Polarity

 LIMITS

 For BF applied parts: 5000 μA

A.9 Patient Auxiliary Current

Patient Auxiliary currents are measured between any selected Applied Part connector and the
remaining Applied Part connector s. All measurements may have a true RMS only response.

The following outlet conditions apply when performing the Patient Auxiliary Current test.
 normal polarity( Normal Condition);
 reverse polarity( Normal Condition),
 normal polarity with open neutral(Single Fault Condition);
 reverse polarity with open neutral(Single Fault Condition).
 normal polarity with open earth(Single Fault Condition);
 reverse polarity with open earth(Single Fault Condition).
 LIMITS

For BF applied parts,

 100μA in Normal Condition
 500μA in Single Fault Condition

Note: Make sure the safety analyzer is authorized comply with requirement of IEC60601-1.
Follow the instructions of the analyzer manufacturer.

A-4 Electrical Safety Inspection

Appendix B Barcode Reader
The product supports readers for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208) .
The laser transmitted by the reader is Class 2 laser.

WARNING: Class 2 laser adopts low power, visible LED. DO NOT

stare into beam because of unknown hazards of
transient radiation provided by class 2 laser.

CAUTION: Ensure the information acquired by barcode reader is

consistent with the actual information.
There are 2 operation modes:
Hand-held mode: press the trigger to decode.
Hands-free mode: seat the reader in the stand to enter the mode, the reader decodes automatically.
Note: the reader does not support decoding of Multilanguage.

B.1 1-D Barcode Reader

B.1.1 Overview

1. LED Green: A barcode was successfully decoded.

Red: A data transmission error or reader malfunction occurred.
2. Scan window Scan the barcode.
3. Trigger Press to decode

B.1.2 Setting Up the Reader (Take LS2208 as an example)

1. Plug the interface cable modular connector into the cable interface port on the bottom of the reader
handle, and ensure the connector is properly secured.
2. Connect the other end of the interface cable to the host.

Barcode Reader B-1

 1. Cable interface port

2. Interface cable modular connector

B.1.3 Setting
The reader has factory settings; please refer to A.4 for details.
The reader supports some user-defined functions as introduced below.
For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department.

 Volume setting:
Scan the following barcode to set the volume parameter.

 code 93 and codebar scanning:

To enable or disable Code 93, scan the appropriate barcode below.

To enable Codebar, scan the appropriate barcode below.

B-2 Barcode Reader

 code 39 full ASCII scanning:
Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set.
To enable or disable Code 39 Full ASCII, scan the appropriate barcode below.

 I 2 of 5 symbols setting:

Select this option to decode only I 2 of 5 symbols containing a selected length. Select the length using
the numeric barcodes below. For example, to decode only I 2 of 5 symbols with 8 characters, scan I 2
of 5 - One Discrete Length, then scan 0 followed by 8.

Barcode Reader B-3

B-4 Barcode Reader
B.1.4 Scanning in Hand-Held Mode
1. Ensure all connections are secure.
2. Aim the reader at the barcode. Press the trigger.
Note: Ensure the scan line crosses every bar and space of the symbol, see the figure below.

3. Upon successful decode, the reader beeps and the LED turns green.

Tips: Do not hold the reader directly over the barcode. Laser light reflecting directly back into the reader
from the barcode is known as specular reflection. This specular reflection can make decoding difficult.

B.1.5 Scanning in Hands-Free Mode

Assembling the Intellistand

Barcode Reader B-5

NOTE Before tightening the wingnut under the base, ensure that the flat areas on the flexible neck fit
securely in the grooves in the base.
Mounting the Stand (optional)
You can attach the base of the reader’s stand to a flat surface using two screws or double-sided tape
(not provided).

 Screw Mount
1. Position the assembled base on a flat surface.
2. Screw one #10 wood screw into each screw-mount hole until the base of the stand is secure
 Tape Mount
1. Peel the paper liner off one side of each piece of tape and place the sticky surface over each of the
three rectangular tape holders.
2. Peel the paper liner off the exposed sides of each piece of tape and press the stand on a flat
surface until it is secure.
Scanning in Hands-Free Mode
When the reader is seated in the stand’s “cup”, the reader’s built-in sensor places the reader in hands-
free mode. When you remove the reader from the stand it operates in its normal hand-held mode.

B-6 Barcode Reader

B.2 Parameter Defaults
Refer to the following table for parameter defaults of LS2208.
Parameter Defaults
1-D Symbologies
UPC/EAN
UPC-A Enable
UPC-E Enable
UPC-E1 Disable
EAN-8/JAN 8 Enable
EAN-13/JAN 13 Enable
Bookland EAN Disable
Decode UPC/EAN/JAN Supplementals (2and 5 digits) Ignore
UPC/EAN/JAN Supplemental Redundancy 10
Transmit UPC-A Check Digit Enable
Transmit UPC-E Check Digit Enable
Transmit UPC-E1 Check Digit Enable
UPC-A Preamble System Character
UPC-E Preamble System Character
UPC-E1 Preamble System Character
Convert UPC-E to A Disable
Convert UPC-E1 to A Disable
EAN-8/JAN-8 Extend Disable
UCC Coupon Extended Code Disable
Code 128
Code 128 Enable
UCC/EAN-128 Enable
ISBT 128 Enable
Code 39
Code 39 Enable
Trioptic Code 39 Disable
Convert Code 39 to Code 32 (Italian Pharmacy Code) Disable
Code 32 Prefix Disable
Set Length(s) for Code 39 2 to 55
Code 39 Check Digit Verification Disable
Transmit Code 39 Check Digit Disable
Code 39 Full ASCII Conversion Disable
Buffer Code 39 Disable
Code 93
Code 93 Enable
Set Length(s) for Code 93 4 to 55

Barcode Reader B-7

Parameter Defaults

Interleaved 2 of 5 (ITF)
Interleaved 2 of 5 (ITF) Enable Enable
Set Lengths for I 2 of 5 14
I 2 of 5 Check Digit Verification Disable

Transmit I 2 of 5 Check Digit Disable

Convert I 2 of 5 to EAN 13 Disable
Codabar (NW - 7)
Codabar Enable
Set Lengths for Codabar 5 to 55
CLSI Editing Disable
NOTIS Editing Disable

B.3 Maintenance
Cleaning the exit window is the only maintenance required. A dirty window can affect scanning accuracy.
 Do not allow any abrasive material to touch the window
 Remove any dirt particles with a damp cloth
 Wipe the window using a tissue moistened with ammonia/water
 Do not spray water or other cleaning liquids directly into the window.

B-8 Barcode Reader

Appendix C iWorks (Auto Workflow
Protocol)

C.1 Overview
The major objective of ultrasound workflow automation (iWorks) is to speed up exam time and reduce
the excessive number of user interface manual key strokes that can lead to repetitive motion injuries
over time. It automates a clinical work flow in common exam protocols in a logical, “step by step”
manner. It also prevents missing an important part of an examination as well as decreases exam time.
A Protocol Event contains series workflow events (annotation comments, body mark and
measurements) and image modal commands to assist the user in routine ultrasound examinations.
The system provides different protocol events based on the different application regions.
iWorks is an option.

C.2 Normal iWorks Basic Procedure

1. Enter the patient information.
2. Press iWorks user-defined key to enter the protocol selection screen, and select the corresponding
protocol button to enter the status.
3. After the system enters the iWorks screen, the available protocol is displayed on the lower part of
the screen, perform the scanning and saving according to the screen prompt.
Perform measurements or add comment/body mark to the image according to the screen prompt.
4. After one view scanning is completed, press the user-defined save key (usually <Save1> or
<Save2>) to switch to the next view according to the screen prompt.
5. Repeat step 3 and step 4 to acquire all necessary images.
6. After all views are finished, the system will prompt you if to exit iWorks, click [Yes] to exit.

iWorks (Auto Workflow Protocol) C-1

 C.3 Screen Display
 Normal iWorks
For automated protocols of vascular, small parts, cardiac, abdomen and gynecology application regions,
the monitor displays the following screen:

1 2 3

Name Description

Displays the protocol name, and the number of views contained;

1
There may be prompt information here to indicate the following operation.

2 The current active view, with green solid frame around the image.

3 Displays the view steps in the protocol.

C.4 View Operation

In iWorks status, you can perform view selection on the screen.
For some views, the system switches to the relevant imaging modes if necessary.
The comment for the current view has been automatically added to the lower left corner of the image,
ready for you to scan the specified anatomy.

C.4.1 View Selection

Click [Previous]/[Next] to select the view to be scanned, the current view is around by a green solid
frame.

C.4.2 View Operation

In the current active view, you can perform image scanning, measurements, adding comments and body
mark and etc. Operations are the same as those in manual operation; please refer to relevant chapters
for details.

C.4.3 View Saving

After the view measurement is completed, press the save key to save the information to the current
patient. Check the detailed measurement information in [Review] page or in iStation.

C-2 iWorks (Auto Workflow Protocol)

Appendix D Printer Adapter
The printer adapter (LPA11) enables printers to be used with the Ultrasound system.

D.1 Safety Precautions

Please observe the following precautions to ensure patient and operator safety when using
this system.
1. Connect the power plug of this system to wall receptacles that
WARNING: meet the ratings indicated on the nameplate.
2. Within 1.5 meters of the patient, connect Printer Adapter to an
auxiliary power outlet through specified power adapter by an
auxiliary power cable according to chapter 2.2 system
connection which complies with IEC 60601-1: 2014 Chapter 16
or a power input of the same safety level.
3. DO NOT use different power supplies to Printer Adapter, or
directly connect power adapter to wall receptacles.
4. When using Graph/text printer/ digital video printer which are
not powered by the ultrasound system's auxiliary output,
ensure these peripherals directly connect to wall receptacles.
If peripherals other than those permitted by Mindray used
within patient environment, user should ensure the overall
leakage current of peripherals and the ultrasound system
meets the requirement of the local medical device electrical
regulations (e.g., the touch leakage current should be no
more than 500uA as per IEC 60601-1: 2014 Chapter 16), and
the responsibility is held by the user.
5. Before cleaning the system, disconnect all the power cord from
the outlet. Failure to do so may result in system failure and
electric shock.
6. Please perform periodical clean to the printer adapter. Do not
drop or disassemble the printer adapter. Use the specified
power input. Read the instructions for use.

D.2 Supported Printer Type

The printer adapter supports the following printers:
Type Model
HP Officejet Pro 8100

Graph/text EPSON L130

printer HP L1020PLUS
EPSON L310
SONY UP-D25MD
Video printer
SONY X898MD

Printer Adapter D-1

P/N: 046-017673-00 (1.0)